Healthcare Provider Details

I. General information

NPI: 1861568396
Provider Name (Legal Business Name): AMY A OGAWA DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMY A OGAWA DMD INC

II. Dates (important events)

Enumeration Date: 11/27/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

94 801 FARRINGTON HWY STE 202
WAIPAHU HI
96797
US

IV. Provider business mailing address

94 801 FARRINGTON HWY STE 202
WAIPAHU HI
96797
US

V. Phone/Fax

Practice location:
  • Phone: 808-678-8999
  • Fax: 808-671-8883
Mailing address:
  • Phone: 808-678-8999
  • Fax: 808-671-8883

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number1452
License Number StateHI
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number1452
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: