| Emerald Island Oral Facial Surgery, Inc. | |
|
4414 Kukui Grove St Suite #103 Lihue HI 96766-2016 | |
| (808) 245-9339 | |
| Not Available |
| Full Name | Emerald Island Oral Facial Surgery, Inc. |
|---|---|
| Speciality | Dentist |
| Location | 4414 Kukui Grove St, Lihue, Hawaii |
| Authorized Official Name and Position | David H. Russell (PRESIDENT) |
| Authorized Official Contact | 8082459339 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Emerald Island Oral Facial Surgery, Inc. 4381 Kukui Grove St Unit 101 Lihue HI 96766-1639 Ph: (808) 245-9339 | Emerald Island Oral Facial Surgery, Inc. 4414 Kukui Grove St Suite #103 Lihue HI 96766-2016 Ph: (808) 245-9339 |
| NPI Number | 1710199054 |
|---|---|
| Provider Enumeration Date | 05/07/2007 |
| Last Update Date | 06/25/2024 |
| Medicare PECOS PAC ID | 4587761317 |
|---|---|
| Medicare Enrollment ID | O20070514000077 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710199054 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DT1886 (Hawaii) | Primary |
| Provider Name | David H Russell |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1528196516 PECOS PAC ID: 2163457946 Enrollment ID: I20050929001032 |
Ivan Chuah Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4347 Rice St, Suite 201, Lihue, HI 96766 Phone: 808-246-4881 Fax: 808-246-4882 | |
Kidshine Lihue Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4180 Rice St Ste 105, Lihue, HI 96766 Phone: 808-245-2131 | |
Craig R Haruki Dds Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4359 Kukui Grove St, 101, Lihue, HI 96766 Phone: 808-245-3003 | |
Joseph H. Chu, Dds, Ltd. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4370 Kukui Grove St, Suite 212, Lihue, HI 96766 Phone: 808-482-3060 | |
Paul H Yoo Dds Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4473 Pahee St. Unit R, Lihue, HI 96766 Phone: 808-240-2656 | |
Cathy N. Tsunehiro Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3135 Akahi St, Lihue, HI 96766 Phone: 808-246-6370 | |
Pacific Rim Dental Group, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4366 Kukui Grove St, 204, Lihue, HI 96766 Phone: 808-378-4754 Fax: 808-748-0389 |