Healthcare Provider Details

I. General information

NPI: 1447547633
Provider Name (Legal Business Name): NEIL OISHI DDS, MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2011
Last Update Date: 04/02/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1060 YOUNG ST STE 312
HONOLULU HI
96814-1609
US

IV. Provider business mailing address

1060 YOUNG ST STE 312
HONOLULU HI
96814-1609
US

V. Phone/Fax

Practice location:
  • Phone: 808-585-8455
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License NumberDT-2692
License Number StateHI
# 2
Primary TaxonomyY
Taxonomy Code204E00000X
TaxonomyOral & Maxillofacial Surgery (D.M.D.)
License NumberMD-19235
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: