Healthcare Provider Details

I. General information

NPI: 1568799013
Provider Name (Legal Business Name): PAUL T. NOTO, DDS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/04/2009
Last Update Date: 11/04/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45-939 KAM HWY
KANEOHE HI
96744
US

IV. Provider business mailing address

45-939 KAM HWY
KANEOHE HI
96744
US

V. Phone/Fax

Practice location:
  • Phone: 808-247-6058
  • Fax:
Mailing address:
  • Phone: 808-247-6058
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number606
License Number StateHI
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number606
License Number StateHI

VIII. Authorized Official

Name: DR. PAUL T. NOTO
Title or Position: PRESIDENT
Credential: DDS
Phone: 808-247-6058