JACK LUNDGREN DDS
NPI 1194802918
Dentist in Lihue, HI

Q: What is Jack Lundgren's NPI number?

The NPI number for Jack Lundgren is 1194802918. It was assigned to this individual provider in the NPPES registry on November 1, 2006. The provider is also known as Donald Jackman Lundgren Dds.

Q: What is Jack Lundgren's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Jack Lundgren was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 01, 2006

4347 RICE ST, STE 201, LIHUE, HI 96766(808) 246-4881 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jack Lundgren Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK LUNDGREN DDS (NPI 1194802918) is an individual dentist in Lihue, Hawaii, licensed in Hawaii (HI898) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1194802918

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameJACK LUNDGRENCredential: DDS

Location Address4347 RICE ST, STE 201Lihue, HI 96766-1335

Mailing Address4347 Rice St, Ste 201Lihue, HI 96766-1335 · (808) 246-4881

Phone(808) 246-4881

Sole ProprietorNo

Enumeration DateNovember 1, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1194802918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Licenses✔ Licensed in HI · HI898✔ Licensed in CA · 20227

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

4347 RICE ST, Lihue, HI 96766

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Other Names 1

Former Name (1)Donald Jackman Lundgren Dds

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

IVAN CHUAH LLC

Dentist

4347 RICE ST, SUITE 201
LIHUE, HI 96766

Kauai County (808) 246-4881

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Lundgren's NPI number?

The NPI number for Jack Lundgren is 1194802918. It was assigned to this individual provider in the NPPES registry on November 1, 2006. The provider is also known as Donald Jackman Lundgren Dds.

Where is Jack Lundgren located?

Jack Lundgren practices at 4347 Rice St Ste 201, Lihue, HI 96766. The listed phone number is (808) 246-4881.

What is Jack Lundgren's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Jack Lundgren was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.