Provider Demographics
NPI:1679781801
Name:NAKAMURA, ANN OKIMOTO (DDS)
Entity Type:Individual
Prefix:DR
First Name:ANN
Middle Name:OKIMOTO
Last Name:NAKAMURA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7913 ALLISON WAY
Mailing Address - Street 2:SUITE 202
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80005-5032
Mailing Address - Country:US
Mailing Address - Phone:303-425-4253
Mailing Address - Fax:303-425-4414
Practice Address - Street 1:7913 ALLISON WAY
Practice Address - Street 2:SUITE 202
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80005-5032
Practice Address - Country:US
Practice Address - Phone:303-425-4253
Practice Address - Fax:303-425-4414
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-20
Last Update Date:2017-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO048071223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice