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DR. JOHN W ETZENBACH DDS
NPI 1790740322
Dentist - Periodontics in Tripler Amc, HI

Active since April 18, 2006
1 JARRETT WHITE RD BLDG 320, US ARMY DENTAL ACTIVITY, TRIPLER AMC, HI 96859(808) 433-9200(808) 433-9194 Get Directions Write a Review

NPPES record last updated: February 5, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. John W Etzenbach Dds NPPES

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

DR. JOHN W ETZENBACH DDS (NPI 1790740322) is an individual periodontics provider in Tripler Amc, Hawaii, licensed in Hawaii (2192) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1790740322
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. JOHN W ETZENBACHCredential: DDS
Location Address1 JARRETT WHITE RD BLDG 320, US ARMY DENTAL ACTIVITYTripler Amc, HI 96859-5001
Mailing Address1 Jarrett White Rd Bldg 320, Us Army Dental ActivityTripler Amc, HI 96859-5001 · (808) 433-9200 · Fax (808) 433-9194
Phone(808) 433-9200
Fax(808) 433-9194
Sole ProprietorNo
Enumeration DateApril 18, 2006
Last NPPES UpdateFebruary 5, 2015
✔ NPI 1790740322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Licenses✔ Licensed in HI · 2192✔ Licensed in IL · 019018177✔ Licensed in CA · 52815
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
1 JARRETT WHITE RD BLDG 320, Tripler Amc, HI 96859
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Other Providers at the Same Location NPPES 4

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

GREGORY WILLIAM SILVER DDS
Dentist (General Practice)
1 JARRETT WHITE RD BLDG 320, US ARMY DENTAL ACTIVITY HAWAII
TRIPLER AMC, HI 96859
Honolulu County (808) 433-1021
DR. SPENCE T GIBBS DMD
Dentist (General Practice)
1 JARRETT WHITE RD BLDG 320, USA DENTAC HAWAII
TRIPLER AMC, HI 96859
Honolulu County (803) 751-6213
DR. FRANLILS COMETA TENGASANTOS DDS
Dentist (General Practice)
1 JARRETT WHITE RD BLDG 320, US ARMY DENTAL ACTIVITY HAWAII
TRIPLER AMC, HI 96859
Honolulu County (808) 433-1021
DR. PATRICK RYAN FERGUSON DDS
Dentist
1 JARRETT WHITE RD BLDG 320, ATTN: MCDS-PA
TRIPLER AMC, HI 96859
Honolulu County (808) 433-5303

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 John Etzenbach's NPI number?

The NPI number for John Etzenbach is 1790740322. It was assigned to this individual provider in the NPPES registry on April 18, 2006.

Where is John Etzenbach located?

John Etzenbach practices at 1 Jarrett White Rd Bldg 320 Us Army Dental Activity, Tripler Amc, HI 96859. The listed phone number is (808) 433-9200.

What is John Etzenbach's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for John Etzenbach was last updated on February 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.