Provider Demographics
NPI:1982619730
Name:DAVID K HIRANAKA MD DMD INC
Entity Type:Organization
Organization Name:DAVID K HIRANAKA MD DMD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:K
Authorized Official - Last Name:HIRANAKA
Authorized Official - Suffix:
Authorized Official - Credentials:MD, DMD
Authorized Official - Phone:808-326-2040
Mailing Address - Street 1:76-6225 KUAKINI HWY
Mailing Address - Street 2:SUITE A102
Mailing Address - City:KAILUA KONA
Mailing Address - State:HI
Mailing Address - Zip Code:96740-3211
Mailing Address - Country:US
Mailing Address - Phone:808-326-2040
Mailing Address - Fax:808-326-7273
Practice Address - Street 1:76-6225 KUAKINI HWY
Practice Address - Street 2:SUITE A102
Practice Address - City:KAILUA KONA
Practice Address - State:HI
Practice Address - Zip Code:96740-3211
Practice Address - Country:US
Practice Address - Phone:808-326-2040
Practice Address - Fax:808-326-7273
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-30
Last Update Date:2009-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD-87881223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIH101595Medicare PIN