Provider Demographics
NPI:1609071687
Name:YOKOYAMA, CARTER SATORU (DDS)
Entity Type:Individual
Prefix:DR
First Name:CARTER
Middle Name:SATORU
Last Name:YOKOYAMA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75-5905 WALUA RD
Mailing Address - Street 2:STE 7
Mailing Address - City:KAILUA KONA
Mailing Address - State:HI
Mailing Address - Zip Code:96740-5315
Mailing Address - Country:US
Mailing Address - Phone:808-322-0101
Mailing Address - Fax:808-326-9495
Practice Address - Street 1:75-5905 WALUA RD
Practice Address - Street 2:STE 7
Practice Address - City:KAILUA KONA
Practice Address - State:HI
Practice Address - Zip Code:96740-5315
Practice Address - Country:US
Practice Address - Phone:808-322-0101
Practice Address - Fax:808-326-9495
Is Sole Proprietor?:No
Enumeration Date:2007-06-19
Last Update Date:2012-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI17451223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice