Provider Demographics
NPI:1831246610
Name:AGADER, KERN K (DMD)
Entity type:Individual
Prefix:DR
First Name:KERN
Middle Name:K
Last Name:AGADER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:563 FARRINGTON HWY STE 206
Mailing Address - Street 2:
Mailing Address - City:KAPOLEI
Mailing Address - State:HI
Mailing Address - Zip Code:96707-2031
Mailing Address - Country:US
Mailing Address - Phone:808-674-8895
Mailing Address - Fax:808-674-8802
Practice Address - Street 1:563 FARRINGTON HWY STE 206
Practice Address - Street 2:
Practice Address - City:KAPOLEI
Practice Address - State:HI
Practice Address - Zip Code:96707-2031
Practice Address - Country:US
Practice Address - Phone:808-674-8895
Practice Address - Fax:808-674-8802
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDT-19841223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice