Provider Demographics
NPI:1043346851
Name:SAKAI, KEVIN H (DDS)
Entity Type:Individual
Prefix:
First Name:KEVIN
Middle Name:H
Last Name:SAKAI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 RIVER RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98371-4113
Mailing Address - Country:US
Mailing Address - Phone:253-200-2500
Mailing Address - Fax:253-200-2503
Practice Address - Street 1:311 RIVER RD
Practice Address - Street 2:SUITE 201
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98371-4113
Practice Address - Country:US
Practice Address - Phone:253-200-2500
Practice Address - Fax:253-200-2503
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2016-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE000107831223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry