Healthcare Provider Details

I. General information

NPI: 1750384293
Provider Name (Legal Business Name): DENNIS BARRY LIND M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/28/2005
Last Update Date: 03/21/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 KAPIOLANI BLVD. #1306
HONOLULU HI
96814-3805
US

IV. Provider business mailing address

1600 KAPIOLANI BLVD. SUITE 1306
HONOLULU HI
96814-3805
US

V. Phone/Fax

Practice location:
  • Phone: 808-949-7444
  • Fax: 808-949-6262
Mailing address:
  • Phone: 808-949-7444
  • Fax: 808-949-6262

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number2436
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: