Provider Demographics
NPI:1043481187
Name:RALPH K. KATO DDS, INC.
Entity Type:Organization
Organization Name:RALPH K. KATO DDS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RALPH
Authorized Official - Middle Name:K
Authorized Official - Last Name:KATO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, FAGD
Authorized Official - Phone:808-244-7651
Mailing Address - Street 1:1063 LOWER MAIN ST STE C201
Mailing Address - Street 2:
Mailing Address - City:WAILUKU
Mailing Address - State:HI
Mailing Address - Zip Code:96793-2052
Mailing Address - Country:US
Mailing Address - Phone:808-244-7651
Mailing Address - Fax:808-249-0912
Practice Address - Street 1:1063 LOWER MAIN ST STE C201
Practice Address - Street 2:
Practice Address - City:WAILUKU
Practice Address - State:HI
Practice Address - Zip Code:96793-2052
Practice Address - Country:US
Practice Address - Phone:808-244-7651
Practice Address - Fax:808-249-0912
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-17
Last Update Date:2008-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI0832122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI06621901Medicaid
HI86603OtherHMSA