Provider Demographics
NPI:1255405411
Name:OBAYASHI, DEAN SATORU (DDS)
Entity type:Individual
Prefix:DR
First Name:DEAN
Middle Name:SATORU
Last Name:OBAYASHI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 KEAHOLE PLACE
Mailing Address - Street 2:#2304
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96825
Mailing Address - Country:US
Mailing Address - Phone:808-395-3941
Mailing Address - Fax:
Practice Address - Street 1:1029 KAPAHULU AVE
Practice Address - Street 2:DEAN S OBAYASHI DDS SUITE 407
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96816
Practice Address - Country:US
Practice Address - Phone:808-735-9700
Practice Address - Fax:808-735-7609
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2017-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDT1597122300000X
CA36993122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI05396501Medicaid