Provider Demographics
NPI:1922153568
Name:DAVID M. OKUJI, D.D.S., INC.
Entity Type:Organization
Organization Name:DAVID M. OKUJI, D.D.S., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:M
Authorized Official - Last Name:OKUJI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:831-234-8995
Mailing Address - Street 1:7960B SOQUEL DR # 226
Mailing Address - Street 2:
Mailing Address - City:APTOS
Mailing Address - State:CA
Mailing Address - Zip Code:95003-3916
Mailing Address - Country:US
Mailing Address - Phone:831-234-8995
Mailing Address - Fax:610-884-0102
Practice Address - Street 1:7960B SOQUEL DR # 226
Practice Address - Street 2:
Practice Address - City:APTOS
Practice Address - State:CA
Practice Address - Zip Code:95003-3916
Practice Address - Country:US
Practice Address - Phone:831-234-8995
Practice Address - Fax:610-884-0102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA280571223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA9753851Medicaid
CAG93883-01Medicaid
WA5049739Medicaid
HI570243-02Medicaid