Provider Demographics
NPI:1932112562
Name:NAKADA, SARAH CHIYO (DDS)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:CHIYO
Last Name:NAKADA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2334 S KING STREET
Mailing Address - Street 2:SUITE 209
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96826-2344
Mailing Address - Country:US
Mailing Address - Phone:808-941-1919
Mailing Address - Fax:
Practice Address - Street 1:2334 S KING STREET
Practice Address - Street 2:SUITE 209
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96826-2344
Practice Address - Country:US
Practice Address - Phone:808-941-1919
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDT1528122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIA59160OtherHMSA INSURANCE
HIDT1528OtherDENTAL LICENSE
HI05180901Medicaid