Individual provider · Type 1 NPI

Jacob Andrew Prussman

General Practice Dentistry · Honolulu, HI

NPI number 1679250575 Active

Practice location

1857 Palolo Ave
Honolulu, HI 96816-2925

Call (516) 673-8571 Map

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XDT-3247 (HI)

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 1679250575

Jacob Andrew Prussman's National Provider Identifier is 1679250575, issued on Jul 3, 2023. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Honolulu, HI. The record was last updated on Jul 24, 2026.