Individual provider · Type 1 NPI

Ethan Thomas Segerstrom, DDS

General Practice Dentistry · Jbphh, HI

NPI number 1649162017 Active

Practice location

480 Central Ave Bldg 1750
Jbphh, HI 96860-4908

Call (888) 683-2778 Map

Mailing address

480 Central Ave
Pearl Harbor, HI 96860-4908

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XDDS-10368 (IA)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1649162017

Ethan Thomas Segerstrom, DDS's National Provider Identifier is 1649162017, issued on Jul 18, 2025. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Jbphh, HI. The record was last updated on Aug 6, 2026.