IndividualActive
John Etzenbach, DDS
NPI 1790740322 · Periodontics · Tripler Amc, HI
John Etzenbach, DDS is a Periodontics provider in Tripler Amc, HI (NPI 1790740322).
Provider details
- NPI number
- 1790740322
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 019018177 (IL)
Specialties & taxonomies
Dental Providers
Dental Providers
Dental Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
1 Jarrett White Rd Bldg 320
US Army Dental Activity
Tripler Amc, HI 96859-5001
Phone: (808) 433-9200
Fax: (808) 433-9194
Street-level locationGet directions
Mailing address
1 Jarrett White Rd Bldg 320
Tripler Amc, HI 96859-5001
Registry dates
- Enumerated
- 2006-04-18
- Last updated
- 2015-02-05
Frequently asked questions
- What is John Etzenbach's NPI number?
- John Etzenbach's National Provider Identifier (NPI) is 1790740322, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is John Etzenbach's specialty?
- John Etzenbach is listed in the NPPES registry with a primary specialty of Periodontics (Dental Providers).
- Where is John Etzenbach located?
- John Etzenbach's practice location on file with NPPES is 1 Jarrett White Rd Bldg 320, Tripler Amc, HI 96859-5001.
- What is John Etzenbach's phone number?
- The practice phone number listed in the NPPES registry for John Etzenbach is (808) 433-9200.
- Is John Etzenbach's NPI active?
- Yes — John Etzenbach's NPI (1790740322) is active in the NPPES registry as of the last update on 2015-02-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.