Provider Demographics
NPI:1912232190
Name:STEVEN Y SAKATA, DMD, INC.
Entity type:Organization
Organization Name:STEVEN Y SAKATA, DMD, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:Y
Authorized Official - Last Name:SAKATA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:808-935-8877
Mailing Address - Street 1:275 PONAHAWAI ST
Mailing Address - Street 2:SUITE 203
Mailing Address - City:HILO
Mailing Address - State:HI
Mailing Address - Zip Code:96720-3074
Mailing Address - Country:US
Mailing Address - Phone:808-935-8877
Mailing Address - Fax:808-935-7737
Practice Address - Street 1:275 PONAHAWAI ST
Practice Address - Street 2:SUITE 203
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-3074
Practice Address - Country:US
Practice Address - Phone:808-935-8877
Practice Address - Fax:808-935-7737
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-06
Last Update Date:2009-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDT9601223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty