Provider Demographics
NPI:1144634577
Name:MARTINEAU, JAMES HENRY (DMD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:HENRY
Last Name:MARTINEAU
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6791 NUHOLANI ST
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96818-7071
Mailing Address - Country:US
Mailing Address - Phone:801-510-8625
Mailing Address - Fax:
Practice Address - Street 1:MONTGOMERY DRIVE #339
Practice Address - Street 2:FORT SHAFTER
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96818
Practice Address - Country:US
Practice Address - Phone:088-438-5555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-13
Last Update Date:2023-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDT-29451223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics