Provider Demographics
NPI:1447463542
Name:DUGAN, JOHN J (DDS)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:J
Last Name:DUGAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:444 HANA HWY
Mailing Address - Street 2:SUITE 210
Mailing Address - City:KAHULUI
Mailing Address - State:HI
Mailing Address - Zip Code:96732
Mailing Address - Country:US
Mailing Address - Phone:808-877-3000
Mailing Address - Fax:808-877-3002
Practice Address - Street 1:444 HANA HWY
Practice Address - Street 2:SUITE 210
Practice Address - City:KAHULUI
Practice Address - State:HI
Practice Address - Zip Code:96732
Practice Address - Country:US
Practice Address - Phone:808-877-3000
Practice Address - Fax:808-877-3002
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI1485122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIA05921-0OtherHMSA
HI1485OtherSTATE ID
HI1485OtherSTATE ID
HIBD2133635OtherDRUG ID