Healthcare Provider Details

I. General information

NPI: 1730475559
Provider Name (Legal Business Name): STEVE E WILHITE DDS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2011
Last Update Date: 06/20/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1329 LUSITANA ST STE 405
HONOLULU HI
96813-2412
US

IV. Provider business mailing address

1329 LUSITANA ST STE 405
HONOLULU HI
96813-2412
US

V. Phone/Fax

Practice location:
  • Phone: 808-526-2800
  • Fax: 808-523-0879
Mailing address:
  • Phone: 808-526-2800
  • Fax: 808-523-0879

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number1203
License Number StateHI

VIII. Authorized Official

Name: DR. STEVE E WILHITE
Title or Position: OWNER
Credential: DDS
Phone: 808-526-2800