Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOHN W ETZENBACH, DDS
ActiveDR. JOHN W ETZENBACH, DDS is a Periodontology healthcare provider located in TRIPLER AMC, Hawaii. NPI 1790740322 is currently active in the NPPES registry. Verify at CMS.
Periodontology · TRIPLER AMC, HI
Registration Details
- NPI Number
- 1790740322
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 18, 2006 (20.29089784533 yrs)
- Last Updated
- Feb 5, 2015
- Licenses
-
019018177 (IL)2192 (HI)52815 (CA)
Practice Information
- Address
-
1 JARRETT WHITE RD BLDG 320US ARMY DENTAL ACTIVITYTRIPLER AMC, HI, 968595001Browse HI providers · Browse ZIP 96859
- Phone
- 8084339200
- Fax
- 8084339194
- Primary Specialty
-
Periodontology
1223P0300X
- Additional Specialty
- Periodontology
- Additional Specialty
- Periodontology
Other Periodontology Providers in TRIPLER AMC, HI
| Name | Credential | NPI |
|---|---|---|
| GREGORY ALAN BLYTHE | DDS | 1982685749 |
| DR. DONALD KARL SCALES | DDS | 1265419493 |
| DR. BRIAN WILLIAM STANCOVEN | DDS | 1508823840 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.