Provider Demographics
NPI:1285766592
Name:SHEK, CAROLINE (DDS)
Entity type:Individual
Prefix:DR
First Name:CAROLINE
Middle Name:
Last Name:SHEK
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:94-615 KUPUOHI ST #206
Mailing Address - Street 2:
Mailing Address - City:WAIPAHU
Mailing Address - State:HI
Mailing Address - Zip Code:96797
Mailing Address - Country:US
Mailing Address - Phone:808-688-2888
Mailing Address - Fax:808-688-2345
Practice Address - Street 1:94-615 KUPUOHI ST
Practice Address - Street 2:# 206
Practice Address - City:WAIPAHU
Practice Address - State:HI
Practice Address - Zip Code:96797-1124
Practice Address - Country:US
Practice Address - Phone:808-688-2888
Practice Address - Fax:808-688-2345
Is Sole Proprietor?:No
Enumeration Date:2007-03-12
Last Update Date:2014-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDT21301223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice