Provider Demographics
NPI:1528593241
Name:KAI, ALAN YOSHIMASA (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:YOSHIMASA
Last Name:KAI
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:703 N ABALONE DR
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85233-0011
Mailing Address - Country:US
Mailing Address - Phone:408-646-1409
Mailing Address - Fax:
Practice Address - Street 1:250 MONTCLAIR AVE
Practice Address - Street 2:SUITE A
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95116-1761
Practice Address - Country:US
Practice Address - Phone:408-646-1409
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-01
Last Update Date:2022-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADDS1049651223X0400X
CA390200000X
AZD0112481223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program