Provider Demographics
NPI:1982025151
Name:DR. BRIAN A. SAKAMOTO DDS, MSD, INC.
Entity Type:Organization
Organization Name:DR. BRIAN A. SAKAMOTO DDS, MSD, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SAKAMOTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-935-3008
Mailing Address - Street 1:70 LANIHULI ST
Mailing Address - Street 2:
Mailing Address - City:HILO
Mailing Address - State:HI
Mailing Address - Zip Code:96720-7213
Mailing Address - Country:US
Mailing Address - Phone:808-935-3008
Mailing Address - Fax:808-961-6566
Practice Address - Street 1:70 LANIHULI ST
Practice Address - Street 2:
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-7213
Practice Address - Country:US
Practice Address - Phone:808-935-3008
Practice Address - Fax:808-961-6566
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-13
Last Update Date:2013-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI20811223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty