MEDICARE: DR. DAVID CHING DMD

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	DT-2158	HI

General Provider Information

NPI Number	:	1366588121
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID CHING DMD

Provider Business Mailing Address
First Line	:	850 KAMEHAMEHA HWY
Second Line	:	SUITE #215
City	:	PEARL CITY
State	:	HI
Zip	:	96782-2656
Country	:	US
Telephone Number	:	808-456-4555
Fax Number	:	808-455-6180

Provider Business Practice Location Address
First Line	:	850 KAMEHAMEHA HWY
Second Line	:	SUITE #215
City	:	PEARL CITY
State	:	HI
Zip	:	96782-2656
Country	:	US
Telephone Number	:	808-456-4555
Fax Number	:	808-456-6180

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

Provider Enumeration Date	:	01/29/2007
Last Update Date	:	03/04/2013

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Directions to “ DR. DAVID CHING DMD” Practice Location

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