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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JACOB ANDREW PRUSSMAN
NPI 1679250575
Dentist - General Practice in Honolulu, HI

Active since July 03, 2023
1857 PALOLO AVE, HONOLULU, HI 96816(516) 673-8571 Get Directions Write a Review

NPPES record last updated: July 24, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 24, 2026, Jul 3, 2023 (2 updates tracked since 2023).

About Jacob Andrew Prussman NPPES

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

JACOB ANDREW PRUSSMAN (NPI 1679250575) is an individual general practice provider in Honolulu, Hawaii, licensed in Hawaii (DT-3247) and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1679250575
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameJACOB ANDREW PRUSSMAN
Location Address1857 PALOLO AVEHonolulu, HI 96816-2925
Mailing Address1857 Palolo AveHonolulu, HI 96816-2925
Phone(516) 673-8571
Sole ProprietorYes
Enumeration DateJuly 3, 2023
Last NPPES UpdateJuly 24, 20262 updates tracked since enumeration
NPPES CertifiedJuly 24, 2026
✔ NPI 1679250575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in HI · DT-3247
Definition
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.
1857 PALOLO AVE, Honolulu, HI 96816
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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 Jacob Prussman's NPI number?

The NPI number for Jacob Prussman is 1679250575. It was assigned to this individual provider in the NPPES registry on July 3, 2023.

Where is Jacob Prussman located?

Jacob Prussman practices at 1857 Palolo Ave, Honolulu, HI 96816. The listed phone number is (516) 673-8571.

What is Jacob Prussman's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Jacob Prussman was last updated on July 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 36 days 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.