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General NPI Number Information
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NPI Number | 1023128857
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Entity Type | Organization
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Legal Business Name | CLYDE G.C. MEW, D.D.S., M.SC.D., INC.
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 2065 S KING ST SUITE 209
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City | HONOLULU
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State | HI
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Zip | 96826-2225
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Country | US
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Telephone | 808-947-4222
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Fax |
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Provider Business Mailing Address
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Address Line | 2065 S KING ST SUITE 209
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City | HONOLULU
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State | HI
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Zip | 96826-2225
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Country | US
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Telephone | 808-947-4222
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Fax |
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Authorized Official
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Title or Position | PRESIDENT & PERIODONTOLOGIST
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Name | DR. CLYDE G.C. MEW
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Credential | D.D.S., M.SC.D.
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Telephone | 808-947-4222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 942
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 942
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License Number State | HI
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