BRANCH DENTAL CLINIC KANEOHE BAY – NPI #1134304876
Clinic/Center

NPI Profile
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BRANCH DENTAL CLINIC KANEOHE BAY is an AHC clinic located in KANEOHE BAY, HI. NPPES has assigned the NPI number 1134304876 to BRANCH DENTAL CLINIC KANEOHE BAY on December 31, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

The NPI profile was previously updated about 8 years ago on Apr 11, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BRANCH DENTAL CLINIC KANEOHE BAY below.

NPI Profile for
BRANCH DENTAL CLINIC KANEOHE BAY

NPI Number

1134304876

Enumeration Date

Dec 31, 2007
(more than 18 years ago)

Entity Type

Type-2 Organization

Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.

Legal Name

BRANCH DENTAL CLINIC KANEOHE BAY

Primary location

3D DENTAL BN
KANEOHE BAY, HI 96863

Phone: (240) 401-3643

Mailing address

PSC 482 BOX 1600
FPO, AP 96362-0017

Phone:

Organization Subpart

Yes - BRANCH DENTAL CLINIC KANEOHE BAY is subpart of another organization.

Authorized Official

WILLIAM CONDON
NAVY MEDICINE UBO PROGRAM MANAGER
Phone: (240) 401-3643

Updated

Apr 11, 2018

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization	State	License
261QD0000X - Clinic/Center / Dental (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.