| Isa Dental | |
|
761 S Marine Corps Drive Suite A-2 Centam Building Tamuning GU 96913 | |
| (671) 646-7982 | |
| (671) 646-7989 |
| Full Name | Isa Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 761 S Marine Corps Drive, Tamuning, Guam |
| Authorized Official Name and Position | Jeffrey Charles Johnson (GENERAL PARTNER) |
| Authorized Official Contact | 6716467982 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Isa Dental Po Box W Hagatna GU 96932 Ph: (671) 646-7982 | Isa Dental 761 S Marine Corps Drive Suite A-2 Centam Building Tamuning GU 96913 Ph: (671) 646-7982 |
| NPI Number | 1093909558 |
|---|---|
| Provider Enumeration Date | 08/28/2007 |
| Last Update Date | 08/28/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093909558 | NPI | - | NPPES |
| 555029 | Other | HI | HAWAII DENTAL SERVICES |
| 185 | Medicaid | GU |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D 829 (Guam) | Primary |
| 1223P0221X | Dentist - Pediatric Dentistry | D 901 (Guam) | Secondary |
Hafa Adai Family Dental Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 590 S Marine Corps Dr, Suite 104 Itc Bldg, Tamuning, GU 96913 Phone: 671-649-7851 Fax: 671-649-7853 | |
Gentle Care Dental Associates Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 278 South Marine Corp Drive, Hengi Plaza Suite 102, Tamuning, GU 96931 Phone: 671-646-8858 Fax: 671-646-3578 | |
Family Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 138 Ypao Road, Family Dental Center Guam Polyclinic Building 2nd Floor, Tamuning, GU 96913 Phone: 671-646-6510 Fax: 671-649-4993 | |
Premier Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 692 N Marine Corps Dr Ste 301, Tamuning, GU 96913 Phone: 671-300-3221 Fax: 671-300-3223 | |
Paradise Smiles Dental Clinic Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 226 Chalan San Antonio Ste C, Amparo's Business Center, Tamuning, GU 96913 Phone: 671-646-2010 Fax: 671-646-2070 |