Provider Demographics
NPI:1003066952
Name:RIICHIRO SATO, D.M.D., PH.D.
Entity Type:Organization
Organization Name:RIICHIRO SATO, D.M.D., PH.D.
Other - Org Name:HONOLULU DENTAL CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RIICHIRO
Authorized Official - Middle Name:
Authorized Official - Last Name:SATO
Authorized Official - Suffix:
Authorized Official - Credentials:DMD, PHD
Authorized Official - Phone:808-943-9338
Mailing Address - Street 1:1441 KAPIOLANI BLVD.
Mailing Address - Street 2:SUITE 722
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-4404
Mailing Address - Country:US
Mailing Address - Phone:808-943-9338
Mailing Address - Fax:808-943-9388
Practice Address - Street 1:1441 KAPIOLANI BLVD
Practice Address - Street 2:SUITE 722
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-4402
Practice Address - Country:US
Practice Address - Phone:808-943-9338
Practice Address - Fax:808-943-9388
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-29
Last Update Date:2008-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI01736305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI0202135OtherHMSA