Healthcare Provider Details

I. General information

NPI: 1316591621
Provider Name (Legal Business Name): MITCHELL J AKEY DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/25/2019
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BHASKAR DENTAL CLINIC 146 CLARK RD.
HONOLULU HI
96819
US

IV. Provider business mailing address

1 JARRETT WHITE RD
TRIPLER ARMY MEDICAL CENTER HI
96859-5001
US

V. Phone/Fax

Practice location:
  • Phone: 808-433-6825
  • Fax:
Mailing address:
  • Phone: 888-683-2778
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number019.032221
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: