Healthcare Provider Details

I. General information

NPI: 1154455228
Provider Name (Legal Business Name): DAVID T. DOI, D.D.S., INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2007
Last Update Date: 10/17/2023
Certification Date: 10/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

64-5191 KINOHOU ST
KAMUELA HI
96743-7392
US

IV. Provider business mailing address

PO BOX 547
KAMUELA HI
96743-0547
US

V. Phone/Fax

Practice location:
  • Phone: 808-885-7144
  • Fax: 808-885-7794
Mailing address:
  • Phone: 808-885-7144
  • Fax: 808-885-7794

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number987
License Number StateHI
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: DR. DAVID T DOI
Title or Position: PRESIDENT
Credential: D.D.S
Phone: 808-885-7144