Healthcare Provider Details

I. General information

NPI: 1346879251
Provider Name (Legal Business Name): RYAN T YOKOTA DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2020
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1688 WILLOW ST STE E
SAN JOSE CA
95125-5109
US

IV. Provider business mailing address

16155 CUVILLY WAY
SARATOGA CA
95070-6377
US

V. Phone/Fax

Practice location:
  • Phone: 408-978-3636
  • Fax:
Mailing address:
  • Phone: 408-781-0911
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License NumberDDS106905
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: