Provider Demographics
NPI:1730384140
Name:UYEDA, GREGG TADASHI (DDS, MS)
Entity type:Individual
Prefix:DR
First Name:GREGG
Middle Name:TADASHI
Last Name:UYEDA
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1441 KAPIOLANI BLVD STE 800
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-4404
Mailing Address - Country:US
Mailing Address - Phone:808-533-7200
Mailing Address - Fax:808-533-1371
Practice Address - Street 1:932 WARD AVE
Practice Address - Street 2:SUITE 410
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-2131
Practice Address - Country:US
Practice Address - Phone:808-533-7200
Practice Address - Fax:808-533-1371
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-15
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
HI16531223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics