National Provider Identifier Database

OAHU ORAL AND MAXILLOFACIAL SURGERY
Oral and Maxillofacial Surgery

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.


Contact Information

OAHU ORAL AND MAXILLOFACIAL SURGERY
45-1144 KAM HWY STE 301
KANEOHE, HI96744-3226
Phone: 808-230-8000
Fax: 808-369-8292
Website:
Specialty Taxonomy Code
* Oral and Maxillofacial Surgery 261QS0112X

* Indicates primary specialty

NPI Profile & details for OAHU ORAL AND MAXILLOFACIAL SURGERY

NPI Number 1164948642
Legal business name
LBN
OAHU ORAL AND MAXILLOFACIAL SURGERY
Authorized official JEREMY HANNON - (OWNER/PROPRIETOR)
Entity Organization
Organization subpart No
Enumeration date 08/16/2017
Last updated 09/19/2025 - About 9 months ago
Sole proprietor1 Not specified
Identifiers
  • HI License #: DT2297

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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