Provider Demographics
NPI:1295861300
Name:ARTHUR K. HAYASHI,D.D.S.,INC
Entity type:Organization
Organization Name:ARTHUR K. HAYASHI,D.D.S.,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:K
Authorized Official - Last Name:HAYASHI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:831-728-2096
Mailing Address - Street 1:64 PENNY LN STE C
Mailing Address - Street 2:
Mailing Address - City:WATSONVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95076-6021
Mailing Address - Country:US
Mailing Address - Phone:831-728-2096
Mailing Address - Fax:831-728-2143
Practice Address - Street 1:64 PENNY LN STE C
Practice Address - Street 2:
Practice Address - City:WATSONVILLE
Practice Address - State:CA
Practice Address - Zip Code:95076-6021
Practice Address - Country:US
Practice Address - Phone:831-728-2096
Practice Address - Fax:831-728-2143
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA228961223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAB 22896-01OtherDENTI-CAL