Pine, Steven C.
Pine, Steven C. is an individual health care provider with primary practice located at 74-5214 Keanalehu Dr , Kailua Kona HI 96740. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Pine, Steven C. can be contacted via phone (808) 355-5650.Contact Information
Primary practice address
74-5214 Keanalehu Dr
Kailua Kona HI 96740
Phone: (808) 355-5650
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 14658 | Maryland |
| Dental Providers / Dentist | 122300000X | DT-2404 | Hawaii |
Profile Details
| NPI number | 1548498686 |
|---|---|
| LBN Legal business name | Pine, Steven C. |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2009 |
| Last updated | Feb 25th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548498686 | NPPES |
| Hawaii | MEDICAID | 534819-01 | |
| Hawaii | MEDICAID | 687121 |
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