Healthcare Provider Details
I. General information
NPI: 1235824913
Provider Name (Legal Business Name): TYLER KAI OKUNAMI DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/07/2023
Last Update Date: 10/11/2025
Certification Date: 10/11/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
98-1005 MOANALUA RD SPC 847
AIEA HI
96701-4726
US
IV. Provider business mailing address
98-1005 MOANALUA RD SPC 847
AIEA HI
96701-4726
US
V. Phone/Fax
- Phone: 808-487-7933
- Fax:
- Phone: 808-487-7933
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1223P0221X |
| Taxonomy | Pediatric Dentistry |
| License Number | DT-3242 |
| License Number State | HI |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: