Healthcare Provider Details
I. General information
NPI: 1558461723
Provider Name (Legal Business Name): GARY W. BILYK, DDS, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/25/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1600 KAPIOLANI BLVD SUITE 1400
HONOLULU HI
96814
US
IV. Provider business mailing address
1600 KAPIOLANI BLVD SUITE 1400
HONOLULU HI
96814
US
V. Phone/Fax
- Phone: 808-947-8888
- Fax: 808-946-6638
- Phone: 808-947-8888
- Fax: 808-946-6638
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 122300000X |
| Taxonomy | Dentist |
| License Number | 1809 |
| License Number State | HI |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1223G0001X |
| Taxonomy | General Practice Dentistry |
| License Number | 902 |
| License Number State | HI |
VIII. Authorized Official
Name: DR.
GARY
W
BILYK
Title or Position: PRESIDENT
Credential: DDS
Phone: 808-947-8888