Provider Demographics
NPI:1265507115
Name:ALAN AOKI DDS PC
Entity Type:Organization
Organization Name:ALAN AOKI DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:
Authorized Official - Last Name:AOKI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:801-322-4600
Mailing Address - Street 1:702 E SOUTH TEMPLE
Mailing Address - Street 2:SUITE 105
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84102-1495
Mailing Address - Country:US
Mailing Address - Phone:801-322-4600
Mailing Address - Fax:801-322-4601
Practice Address - Street 1:702 E SOUTH TEMPLE
Practice Address - Street 2:SUITE 105
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84102-1495
Practice Address - Country:US
Practice Address - Phone:801-322-4600
Practice Address - Fax:801-322-4601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT1437849922122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty