Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1366797425 Individual Practitioner Male Practitioner

Dr. Mark K. Koizumi , DDS

Dentist - General Practice • Hilo, HI

Professional Overview & Biography Verified Profile Summary

Dr. Mark Koizumi, DDS is a registered healthcare professional specializing in Dentist - General Practice in Hilo, HI. Practice services are available at 275 PONAHAWAI ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

275 Ponahawai St
Ste.103

Hilo, HI 967203074

Telephone 8089351149
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Hilo, HI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.3 Yrs
Regional Practice Density
44 Specialists

Practicing in Hilo, HI (740 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License HI DT-1380

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
Dr. William Hayakawa , DDS

Dentist - General Practice

NPI 1225330889

Doctor of Dental Surgery

NPI 1497028138

Doctor of Dental Surgery

Dr. Brian Wilson , MD

Pediatrics - Adolescent Medicine

NPI 1528018595

Doctor of Medicine (M.D.)

Dr. George Atebara , DDS

Dentist - General Practice

NPI 1629227566

Doctor of Dental Surgery

Dr. Steven Sakata , DMD

Dentist - General Practice

NPI 1710096771

Doctor of Dental Medicine

Dr. Robert Atebara , DMD

Dentist - Periodontics

NPI 1740256023

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 16, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location July 16, 2012

Registered at 275 PONAHAWAI ST, STE.103, HILO, HI 967203074 (Tel: 8089351149)

📍
Updated Business Mailing Address July 16, 2012

Registered at 275 PONAHAWAI ST, STE.103, HILO, HI 967203074 (Tel: 8089351149)

👤
Provider Name / Credentials Updated July 16, 2012

Recorded as MARK KOIZUMI, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 16, 2012

Dentist (License #DT-1380 in HI)

🟢
Initial NPI Registration & Enumeration July 16, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1366797425
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 16, 2012
Last Update: July 16, 2012
Sole Proprietor: No

Mailing Address

275 Ponahawai St, Ste.103

Hilo, HI 967203074

Phone: 8089351149

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.