Provider Demographics
NPI:1093117780
Name:SAIKI, HEATHER (RDH)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:
Last Name:SAIKI
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19268 LEXINGTON LN
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96003-8685
Mailing Address - Country:US
Mailing Address - Phone:530-604-0549
Mailing Address - Fax:
Practice Address - Street 1:19268 LEXINGTON LN
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96003-8685
Practice Address - Country:US
Practice Address - Phone:530-604-0549
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-24
Last Update Date:2014-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA19221124Q00000X
CA42739126800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist
No126800000XDental ProvidersDental Assistant