KONA PERIODONTICS AND IMPLANTS – NPI #1275393829
Clinic/Center

KONA PERIODONTICS AND IMPLANTS is an AHC clinic located in KAILUA-KONA, HI. NPPES has assigned the NPI number 1275393829 to KONA PERIODONTICS AND IMPLANTS on March 20, 2024. 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

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 KONA PERIODONTICS AND IMPLANTS below.

NPI Profile for
KONA PERIODONTICS AND IMPLANTS

NPI Number
1275393829
Enumeration Date

(more than 2 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
KONA PERIODONTICS AND IMPLANTS
Primary location
77-6447 KUAKINI HWY
KAILUA-KONA, HI 96740-2227
Phone: (808) 329-7246 Fax: (808) 461-3925
Mailing address
1974 MOHOULI ST
HILO, HI 96720-1924
Phone: Fax:
Organization Subpart
No
Authorized Official
JEREMY OAKLEY
MANAGING MEMBER
Phone: (410) 459-4046
Updated
Certification Date
Mar 20, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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.