MEDICARE: DR. BRIAN KW LAU DENTIST

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	1324	HI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	132401	OTHER	HI	HAWAII DENTAL SERVICE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	193301	OTHER	HI	HMSA

General Provider Information

NPI Number	:	1316058324
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRIAN KW LAU DENTIST

Provider Business Mailing Address
First Line	:	803 KAMEHAMEHA HWY
Second Line	:	SUITE 300
City	:	PEARL CITY
State	:	HI
Zip	:	96782-2638
Country	:	US
Telephone Number	:	808-456-8552
Fax Number	:	808-456-2622

Provider Business Practice Location Address
First Line	:	803 KAMEHAMEHA HWY
Second Line	:	#300
City	:	PEARL CITY
State	:	HI
Zip	:	96782-2638
Country	:	US
Telephone Number	:	808-456-8552
Fax Number	:	808-456-2622

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1922119908 — DR. KATHY K TOMASU DENTIST
Practice Location Address:

803 KAMEHAMEHA HWY , #300
PEARL CITY, HI
96782-2638

Practice Phone: 808-456-8552
Practice Fax: 808-456-2622

1942311931 — DR. CLARENCE YL CHINN PROSTHODONTIST
Practice Location Address:

803 KAMEHAMEHA HWY , SUITE 300
PEARL CITY, HI
96782-2638

Practice Phone: 808-455-7400
Practice Fax: 808-456-2622

1831288984 — MRS. CARRIE L CARONELLO PT
Practice Location Address:

803 KAMEHAMEHA HWY STE 310
PEARL CITY, HI
96782-2638

Practice Phone: 808-456-8885
Practice Fax: 808-587-7727

1194878207 — DR. JENNIFER OTYLIA BROAD D.C.
Practice Location Address:

803 KAMEHAMEHA HWY STE 309
PEARL CITY, HI
96782-2638

Practice Phone: 808-456-5553
Practice Fax: 808-455-6520

1265586747 — DR. CHRISTOPHER MITCHELL NOWICKI D.C., D.A.B.C.O
Practice Location Address:

803 KAMEHAMEHA HWY STE 309
PEARL CITY, HI
96782-2638

Practice Phone: 808-456-5553
Practice Fax: 808-455-6520

1184778565 — PEARL CITY CHIROPRACTIC, LLC
Practice Location Address:

803 KAMEHAMEHA HWY STE 309
PEARL CITY, HI
96782-2638

Practice Phone: 808-456-5553
Practice Fax: 808-455-6520

Directions to “ DR. BRIAN KW LAU DENTIST” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.