Provider Demographics
NPI:1982056479
Name:HESLINGA, MARI (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:MARI
Middle Name:
Last Name:HESLINGA
Suffix:
Gender:F
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2386 LILOA RISE
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96822-1953
Mailing Address - Country:US
Mailing Address - Phone:808-942-5522
Mailing Address - Fax:
Practice Address - Street 1:519 E LANIKAULA ST
Practice Address - Street 2:
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-4591
Practice Address - Country:US
Practice Address - Phone:808-935-4800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-07
Last Update Date:2021-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORD111361223P0300X
HIDT-28331223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics