| Elite Smile Center, Llc | |
|
75-1028 Henry St Suite 203 Kailua Kona HI 96740-1693 | |
| (808) 329-4425 | |
| (808) 329-0872 |
| Full Name | Elite Smile Center, Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 75-1028 Henry St, Kailua Kona, Hawaii |
| Authorized Official Name and Position | Won Chaekal (OWNER) |
| Authorized Official Contact | 8083294425 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Smile Center, Llc 75-1028 Henry St Suite 203 Kailua Kona HI 96740-1693 Ph: (808) 329-4425 | Elite Smile Center, Llc 75-1028 Henry St Suite 203 Kailua Kona HI 96740-1693 Ph: (808) 329-4425 |
| NPI Number | 1104162858 |
|---|---|
| Provider Enumeration Date | 12/28/2012 |
| Last Update Date | 07/24/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104162858 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DT-1904 (Hawaii) | Secondary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DT-1904 (Hawaii) | Primary |
Fredric C Gaeta Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 75-5706 Hanama Pl, Suite 105a, Kailua Kona, HI 96740 Phone: 808-329-3314 Fax: 808-329-1354 | |
Gentle Dental (kona) Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 75-1028 Henry St, Suite 203, Kailua Kona, HI 96740 Phone: 808-329-4425 Fax: 808-329-0872 | |
Kona Pediatric Dentistry Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 77-6443 Kuakini Hwy, Kailua Kona, HI 96740 Phone: 253-314-7885 | |
Kona Periodontics And Implants Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 77-6447 Kuakini Hwy, Kailua Kona, HI 96740 Phone: 808-329-7246 Fax: 808-461-3925 | |
Kona Coast Dental Care, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 75-5591 Palani Rd Ste 202, Kailua Kona, HI 96740 Phone: 808-329-8067 | |
Hawaii Family Dental Centers-kailua-kona Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 75-1028 Henry St, Suite 102, Kailua Kona, HI 96740 Phone: 808-329-0025 Fax: 808-329-4164 |