Individual provider · Type 1 NPI
Nicholas Delisle, DMD
Pediatric Dentistry · Kailua-Kona, HI
NPI number
1073963385
Active
Practice location
74-5214 Kkeanalehu Dr
Kailua-Kona, HI 96740
Mailing address
4800 4th Way SW
Olympia, WA 98502-2683
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 3084 (HI) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
About NPI 1073963385
Nicholas Delisle, DMD's National Provider Identifier is 1073963385, issued on Jun 17, 2016. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Kailua-Kona, HI. The record was last updated on Aug 17, 2023.