Provider Demographics
NPI:1821491440
Name:ASANO, ASHLEY EMIKO PI'ILANI (DDS, MS)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:EMIKO PI'ILANI
Last Name:ASANO
Suffix:
Gender:F
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 1:4830 QUAIL CREST PL
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66049-3838
Mailing Address - Country:US
Mailing Address - Phone:785-843-8610
Mailing Address - Fax:
Practice Address - Street 1:4830 QUAIL CREST PL
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66049-3838
Practice Address - Country:US
Practice Address - Phone:785-843-8610
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-28
Last Update Date:2022-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2014029525122300000X
MND141701223E0200X
KS619311223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics
No122300000XDental ProvidersDentist