Provider Demographics
NPI:1588141287
Name:DR. JOSEPH SCHAFERMEYER LLC.
Entity type:Organization
Organization Name:DR. JOSEPH SCHAFERMEYER LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:SCHAFERMEYER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:808-245-6933
Mailing Address - Street 1:4381 KUKUI GROVE ST.
Mailing Address - Street 2:STE. 2
Mailing Address - City:LIHUE
Mailing Address - State:HI
Mailing Address - Zip Code:96766
Mailing Address - Country:US
Mailing Address - Phone:808-245-6933
Mailing Address - Fax:808-246-0276
Practice Address - Street 1:4381 KUKUI GROVE ST.
Practice Address - Street 2:STE. 2
Practice Address - City:LIHUE
Practice Address - State:HI
Practice Address - Zip Code:96766
Practice Address - Country:US
Practice Address - Phone:808-245-6933
Practice Address - Fax:808-246-0276
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-25
Last Update Date:2018-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDT2578122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty