1487958880 NPI number — DR. WILLIAM CW LI D.D.S.

Table of content: DR. WILLIAM CW LI D.D.S. (NPI 1487958880)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1487958880 NPI number — DR. WILLIAM CW LI D.D.S.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LI
Provider First Name:
WILLIAM
Provider Middle Name:
CW
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
D.D.S.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
CHUN
Provider Other First Name:
WILLIAM
Provider Other Middle Name:
CW
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1487958880
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/01/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1121 NUUANU AVE STE 104
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HONOLULU
Provider Business Mailing Address State Name:
HI
Provider Business Mailing Address Postal Code:
96817-5116
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
808-387-9525
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1441 KAPIOLANI BLVD STE 720
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96814-4404
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-387-9525
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/29/2010

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1223G0001X , with the licence number:  DT2430 , registered in the state of HI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)