Okumoto, Glenn M

Okumoto, Glenn M is an individual health care provider with primary practice located at 1700 Lanakila Ave , Honolulu HI 96817. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Okumoto, Glenn M can be contacted via phone (808) 832-5710.

Contact Information

Primary practice address
1700 Lanakila Ave Honolulu HI 96817
Phone: (808) 832-5710
Fax: (808) 832-5722
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 1024 Hawaii

Profile Details

NPI number 1285615831
LBN Legal business name Okumoto, Glenn M
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2005
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285615831 NPPES
Hawaii MEDICAID 06784701

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