Organization · Type 2 NPI

Elite Smile Center, LLC

Orthodontics and Dentofacial Orthopedics Dentistry · Kailua Kona, HI

NPI number 1104162858 Active

Practice location

75-1028 Henry St, Suite 203
Kailua Kona, HI 96740-1693

Fax (808) 329-0872

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry 1223G0001XDT-1904 (HI)
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XDT-1904 (HI)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

8 other providers at this address

About NPI 1104162858

Elite Smile Center, LLC's National Provider Identifier is 1104162858, issued on Dec 28, 2012. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Kailua Kona, HI. The record was last updated on Jul 24, 2013.