Provider Demographics
NPI:1922151638
Name:HAYASHI, ROY MASATO (DMD)
Entity Type:Individual
Prefix:DR
First Name:ROY
Middle Name:MASATO
Last Name:HAYASHI
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27462 PORTOLA PKWY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:FOOTHILL RANCH
Mailing Address - State:CA
Mailing Address - Zip Code:92610-2815
Mailing Address - Country:US
Mailing Address - Phone:949-273-8575
Mailing Address - Fax:949-273-8577
Practice Address - Street 1:27462 PORTOLA PKWY
Practice Address - Street 2:SUITE 200
Practice Address - City:FOOTHILL RANCH
Practice Address - State:CA
Practice Address - Zip Code:92610-2815
Practice Address - Country:US
Practice Address - Phone:949-273-8575
Practice Address - Fax:949-273-8577
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA535281223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics