Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Enchanted Lake Dental LLC

Organization Dentist · NPI 1588355267

Enchanted Lake Dental LLC is a Dentist in Kailua, Hawaii. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1058 Keolu Dr Ste B104
Kailua, HI 96734-3844
Phone: (808) 261-6767
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1588355267
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Justin Sjulson — Owner · (952) 353-0411
NPI enumeratedMay 15, 2023
Last updated in NPPESMay 15, 2023
Certification dateMay 15, 2023
Mailing address1058 Keolu Dr Ste B104, Kailua, HI 96734-3844

Other providers in Kailua