Healthcare Provider Details

I. General information

NPI: 1679209126
Provider Name (Legal Business Name): MICHELLE ZHOU DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2022
Last Update Date: 02/18/2025
Certification Date: 02/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

94-801 FARRINGTON HWY STE 202
WAIPAHU HI
96797-3149
US

IV. Provider business mailing address

94-801 FARRINGTON HWY STE 202
WAIPAHU HI
96797-3149
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number3003
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: