NPI 1285865170

Sweet Tooth Dental INC.

Organisation Preferred Provider Organization Kailua Kona, HI

Practice location

Address: 75-5660 Kopiko St STE B2, Kailua Kona, HI 96740-3121
Phone: (808) 329-0889
Fax: (808) 329-5062

Authorised official

Name: Garrett B.K. Oka
Title: Dentist/Owner
Phone: (808) 329-0889

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 1987-01 (HI)

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Registry record

NPI: 1285865170
Entity type: Organization
NPI issued: 27 Jul 2009
Record last updated: 27 Jul 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.