Provider Demographics
NPI:1063746030
Name:DR. JEFFREY KAGIHARA DDS INC
Entity type:Organization
Organization Name:DR. JEFFREY KAGIHARA DDS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:KAGIHARA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:808-941-7505
Mailing Address - Street 1:1702 S KING ST
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96826-2042
Mailing Address - Country:US
Mailing Address - Phone:808-941-7505
Mailing Address - Fax:808-949-7040
Practice Address - Street 1:1702 S KING ST
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96826-2042
Practice Address - Country:US
Practice Address - Phone:808-941-7505
Practice Address - Fax:808-949-7040
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-23
Last Update Date:2009-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI17021223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty