SearchHawaiiGeneral Practice Dentistry

Jacob Prussman

NPI 1679250575 · on the registry since 2023 · sole proprietor

Practice

Address
1857 Palolo Ave
Honolulu, HI 96816
Phone
(516) 673-8571

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Licence states on file
HI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-07-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Hawaii