Island Oral And Maxillofacial Surgery, L.L.C.

LBN: Island Oral And Maxillofacial Surgery, L.L.C.
Island Oral And Maxillofacial Surgery, L.L.C. is an health care organization with primary practice located at 338 Kamokila Blvd Ste 203 , Kapolei HI 96707-2055. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. Island Oral And Maxillofacial Surgery, L.L.C. can be contacted via phone (808) 674-2255, or through Abraham, Matthew Scott via phone (808) 674-2255.

Contact Information

Primary practice address
338 Kamokila Blvd Ste 203 Kapolei HI 96707-2055
Phone: (808) 674-2255
Fax: (808) 674-1771
Website:
Map and Directions
Authorized official contact:
Name: Abraham, Matthew Scott DDS, MD
Phone: (808) 674-2255

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X

Profile Details

NPI number 1093374696
LBN Legal business name Island Oral And Maxillofacial Surgery, L.L.C.
DBA Doing business as
Authorized official Abraham, Matthew Scott DDS, MD
Entity Organization
Organization subpart 1 No
Enumeration date Jun 7th, 2019
Last updated Jun 7th, 2019 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093374696 NPPES
Hawaii MEDICAID 629694

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