Provider Demographics
NPI:1265044341
Name:KEVIN H SAKAI DDS PLLC
Entity Type:Organization
Organization Name:KEVIN H SAKAI DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:H
Authorized Official - Last Name:SAKAI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:253-200-2500
Mailing Address - Street 1:20811 WA-410 EAST
Mailing Address - Street 2:
Mailing Address - City:BONNEY LAKE
Mailing Address - State:WA
Mailing Address - Zip Code:98391
Mailing Address - Country:US
Mailing Address - Phone:253-200-2500
Mailing Address - Fax:253-200-2503
Practice Address - Street 1:311 RIVER RD STE 201
Practice Address - Street 2:
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98371-4113
Practice Address - Country:US
Practice Address - Phone:253-347-9499
Practice Address - Fax:253-200-2503
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KEVIN H SAKAI DDS PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-08-19
Last Update Date:2020-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental