Provider Demographics
NPI:1811094618
Name:NAKADA, AKIRA (DMD)
Entity type:Individual
Prefix:DR
First Name:AKIRA
Middle Name:
Last Name:NAKADA
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:MR
Other - First Name:AKIRA
Other - Middle Name:
Other - Last Name:NAKADA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1951 152ND PL NE STE 108
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98007-4879
Mailing Address - Country:US
Mailing Address - Phone:425-974-8161
Mailing Address - Fax:425-522-7600
Practice Address - Street 1:1951 152ND PL NE STE 108
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98007-4879
Practice Address - Country:US
Practice Address - Phone:425-974-8161
Practice Address - Fax:425-522-7600
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA610099441223G0001X
KY82361223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice