OrganizationActive
Enchanted Lake Dental LLC
NPI 1588355267 · Dentist · Kailua, HI
Enchanted Lake Dental LLC is a Dentist organization in Kailua, HI (NPI 1588355267).
Provider details
- NPI number
- 1588355267
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Justin Sjulson, Owner(952) 353-0411
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1058 Keolu Dr Ste B104
Kailua, HI 96734-3844
Phone: (808) 261-6767
Street-level locationGet directions
Mailing address
1058 Keolu Dr Ste B104
Kailua, HI 96734-3844
Registry dates
- Enumerated
- 2023-05-15
- Last updated
- 2023-05-15
- Certified
- 2023-05-15
Frequently asked questions
- What is Enchanted Lake Dental LLC's NPI number?
- Enchanted Lake Dental LLC's National Provider Identifier (NPI) is 1588355267, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Enchanted Lake Dental LLC?
- Enchanted Lake Dental LLC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Enchanted Lake Dental LLC located?
- Enchanted Lake Dental LLC's practice location on file with NPPES is 1058 Keolu Dr Ste B104, Kailua, HI 96734-3844.
- What is Enchanted Lake Dental LLC's phone number?
- The practice phone number listed in the NPPES registry for Enchanted Lake Dental LLC is (808) 261-6767.
- Who is the authorized official for Enchanted Lake Dental LLC?
- The authorized official listed on Enchanted Lake Dental LLC's NPPES record is Justin Sjulson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Enchanted Lake Dental LLC's NPI active?
- Yes — Enchanted Lake Dental LLC's NPI (1588355267) is active in the NPPES registry as of the last update on 2023-05-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.