| Kona Center Of Facial Surgery | |
|
65-1230 Mamalahoa Hwy C10-12 Kamuela HI 96743-8318 | |
| (808) 885-9000 | |
| Not Available |
| Full Name | Kona Center Of Facial Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 65-1230 Mamalahoa Hwy, Kamuela, Hawaii |
| Authorized Official Name and Position | Joan M Greco (PRESIDENT/OWNER) |
| Authorized Official Contact | 8088859000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kona Center Of Facial Surgery 65-1230 Mamalahoa Hwy C10-12 Kamuela HI 96743-8318 Ph: (808) 885-9000 | Kona Center Of Facial Surgery 65-1230 Mamalahoa Hwy C10-12 Kamuela HI 96743-8318 Ph: (808) 885-9000 |
| NPI Number | 1063647931 |
|---|---|
| Provider Enumeration Date | 05/21/2009 |
| Last Update Date | 05/21/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063647931 | NPI | - | NPPES |
| 03442901 | Medicaid | HI | |
| 38042 | Other | HI | HAWAII MEDICAL SERVICE ASSOCIATION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DT1813 (Hawaii) | Primary |
L&r Dental, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 65-1230 Mamalahoa Hwy Ste E21, Kamuela, HI 96743 Phone: 808-887-8801 | |
Doi Enterprises In.c Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 64-5191 Kinohou St, Kamuela, HI 96743 Phone: 808-885-7144 Fax: 808-885-7794 | |
Justin Chan Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 65-1230 Mamalahoa Hwy Ste A21, Kamuela, HI 96743 Phone: 586-556-0220 | |
Brian S. Kubo, Dds, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 64-5191 Kinohou St, Kamuela, HI 96743 Phone: 808-885-8465 Fax: 808-885-8470 | |
Mauna Kea Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 65-1158 Mamalahoa Hwy Ste 27a, Kamuela, HI 96743 Phone: 808-885-7303 | |
Luke Tarver Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 65-1158 Mamalahoa Hwy, Suite 27a, Kamuela, HI 96743 Phone: 808-885-7303 Fax: 808-885-7304 |