Provider Demographics
NPI:1063589679
Name:HORIE, DEAN Y (DDS)
Entity type:Individual
Prefix:DR
First Name:DEAN
Middle Name:Y
Last Name:HORIE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:99080 KAUHALE ST
Mailing Address - Street 2:SUITE C8
Mailing Address - City:AIEA
Mailing Address - State:HI
Mailing Address - Zip Code:96701
Mailing Address - Country:US
Mailing Address - Phone:808-487-1300
Mailing Address - Fax:808-487-1300
Practice Address - Street 1:99080 KAUHALE ST
Practice Address - Street 2:SUITE C8
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701
Practice Address - Country:US
Practice Address - Phone:808-487-1300
Practice Address - Fax:808-487-1300
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDT 1599122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist