Healthcare Provider Details

I. General information

NPI: 1841246857
Provider Name (Legal Business Name): WILLIAM G. HAYAKAWA, D.D.S., INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2006
Last Update Date: 03/14/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

275 PONAHAWAI ST SUITE 102
HILO HI
96720-3074
US

IV. Provider business mailing address

275 PONAHAWAI ST SUITE 102
HILO HI
96720-3074
US

V. Phone/Fax

Practice location:
  • Phone: 808-935-6605
  • Fax: 808-934-8736
Mailing address:
  • Phone: 808-935-6605
  • Fax: 808-934-8736

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number841
License Number StateHI

VIII. Authorized Official

Name: DR. WILLIAM HAYAKAWA
Title or Position: PRESIDENT
Credential:
Phone: 808-935-6605