Provider Demographics
NPI:1376659391
Name:SAKAMOTO, BRIAN AKIYUKI (DDS, MSD)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:AKIYUKI
Last Name:SAKAMOTO
Suffix:
Gender:M
Credentials:DDS, MSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:475 KINOOLE ST STE 103
Mailing Address - Street 2:
Mailing Address - City:HILO
Mailing Address - State:HI
Mailing Address - Zip Code:96720-2900
Mailing Address - Country:US
Mailing Address - Phone:808-935-3008
Mailing Address - Fax:808-961-6566
Practice Address - Street 1:475 KINOOLE ST STE 103
Practice Address - Street 2:
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-2900
Practice Address - Country:US
Practice Address - Phone:808-935-3008
Practice Address - Fax:808-961-6566
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI20811223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics