IndividualActive
J. Mickey Damerell, D.D.S., M.S.
NPI 1225046386 · Orthodontics and Dentofacial Orthopedics Dentistry · Wailuku, HI
Provider details
- NPI number
- 1225046386
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Credential
- D.D.S., M.S.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 00935 (HI)
Specialties & taxonomies
Dental Providers
Practice location
1129 Lower Main St Ste 107
Wailuku, HI 96793-2054
Phone: (808) 244-1499
Fax: (808) 244-9377
Approximate (ZIP-level) locationGet directions
Mailing address
1129 Lower Main St Ste 107
Wailuku, HI 96793-2054
Registry dates
- Enumerated
- 2006-08-04
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.