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

Dr. John W Etzenbach, DDS

Individual provider Periodontics · NPI 1790740322

Dr. John W Etzenbach, DDS is a Periodontics in Tripler Amc, Hawaii. Licensed in California, Hawaii and Illinois. Registered with an NPI since 2006.

Licensed in
CA, HI, IL
In the registry since
2006
Specialties on file
3
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

1 Jarrett White Rd Bldg 320 US Army Dental Activity
Tripler Amc, HI 96859-5001
Phone: (808) 433-9200
Fax: (808) 433-9194
Show map & directions

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

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 2192 (HI)
Periodontics Taxonomy 1223P0300X · Licence 019018177 (IL)
Periodontics Taxonomy 1223P0300X · Licence 52815 (CA)

Record details

NPI number1790740322
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedApril 18, 2006
Last updated in NPPESFebruary 5, 2015
Mailing address1 Jarrett White Rd Bldg 320, Us Army Dental Activity, Tripler Amc, HI 96859-5001

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