| Nicole Koochi, DDS | |
|
41-1347 Kalanianaole Hwy, Waimanalo, HI 96795-1247 | |
| (808) 954-7137 | |
| Not Available |
| Full Name | Nicole Koochi |
|---|---|
| Gender | Female |
| Speciality | Dentist - General Practice |
| Location | 41-1347 Kalanianaole Hwy, Waimanalo, Hawaii |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093308173 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DT-2944 (Hawaii) | Primary |
| Entity Name | Waimanalo Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780738005 PECOS PAC ID: 8527029198 Enrollment ID: O20041026001073 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Koochi, DDS 41-1347 Kalanianaole Hwy, Waimanalo, HI 96795-1247 Ph: (808) 954-7137 | Nicole Koochi, DDS 41-1347 Kalanianaole Hwy, Waimanalo, HI 96795-1247 Ph: (808) 954-7137 |
Dr. Ryan Takeshi Inouye, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 41-1347 Kalanianaole Hwy, Waimanalo, HI 96795 Phone: 808-259-5466 Fax: 808-954-7144 | |
Dr. Gerald M B Wong, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 411537 Kalanianaole Highway, Suite 10b, Waimanalo, HI 96795 Phone: 808-259-9454 Fax: 808-259-5714 | |
Dr. Anthony Sung Gil Kim, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 41-1347 Kalanianaole Hwy, Waimanalo, HI 96795 Phone: 808-259-5466 Fax: 808-954-7144 |