Provider Demographics
NPI:1316075716
Name:ENDODONTIC SPECIALISTS, INC.
Entity type:Organization
Organization Name:ENDODONTIC SPECIALISTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:SHIGERU
Authorized Official - Last Name:YONEMOTO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MS
Authorized Official - Phone:808-532-3900
Mailing Address - Street 1:1100 WARD AVE
Mailing Address - Street 2:SUITE 1015
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-1600
Mailing Address - Country:US
Mailing Address - Phone:808-532-3900
Mailing Address - Fax:808-532-3955
Practice Address - Street 1:1100 WARD AVE
Practice Address - Street 2:SUITE 1015
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-1600
Practice Address - Country:US
Practice Address - Phone:808-532-3900
Practice Address - Fax:808-532-3955
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI1223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI820398OtherUNITED CONCORDIA