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

Dr. Ethan Thomas Segerstrom, DDS

Individual provider General Practice Dentistry · NPI 1649162017

Dr. Ethan Thomas Segerstrom, DDS is a General Practice Dentistry in Jbphh, Hawaii. Licensed in Iowa. Registered with an NPI since 2025.

Licensed in
IA
In the registry since
2025
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

480 Central Ave Bldg 1750
Jbphh, HI 96860-4908
Phone: (888) 683-2778
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DDS-10368 (IA)

Record details

NPI number1649162017
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJuly 18, 2025
Last updated in NPPESAugust 6, 2026
Certification dateAugust 6, 2026
Mailing address480 Central Ave, Pearl Harbor, HI 96860-4908

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