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Enchanted Lake Dental LLC

Dentist in Kailua, HI · enumerated 2023 · authorized official Justin Sjulson, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1588355267

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Registry record

Entity type Organization (Type 2)
Legal business name Enchanted Lake Dental LLC
Practice address 1058 Keolu Dr Ste B104, Kailua, HI, 96734
Enumeration date May 15, 2023
Last updated in NPPES May 15, 2023

Taxonomy & classification

122300000X Dentist Dental Providers Primary

Authorized official

Name Justin Sjulson
Title Owner

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Enchanted Lake Dental LLC?
NPPES lists Justin Sjulson (Owner) as the authorized official for this organization.
What is the NPI number for Enchanted Lake Dental LLC?
The NPI for Enchanted Lake Dental LLC is 1588355267, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-05-15.