Provider Demographics
NPI:1306170121
Name:WESLEY K. NIHEI, D.D.S. INC.
Entity type:Organization
Organization Name:WESLEY K. NIHEI, D.D.S. INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WESLEY
Authorized Official - Middle Name:K
Authorized Official - Last Name:NIHEI
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:808-621-0747
Mailing Address - Street 1:906 KILANI AVE
Mailing Address - Street 2:
Mailing Address - City:WAHIAWA
Mailing Address - State:HI
Mailing Address - Zip Code:96786-2102
Mailing Address - Country:US
Mailing Address - Phone:808-621-0747
Mailing Address - Fax:808-621-0748
Practice Address - Street 1:906 KILANI AVE
Practice Address - Street 2:
Practice Address - City:WAHIAWA
Practice Address - State:HI
Practice Address - Zip Code:96786-2102
Practice Address - Country:US
Practice Address - Phone:808-621-0747
Practice Address - Fax:808-621-0748
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-25
Last Update Date:2009-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI1906122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty