Healthcare Provider Details

I. General information

NPI: 1922330620
Provider Name (Legal Business Name): ERIC T YOKOTA DDS, MSD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/04/2010
Last Update Date: 03/03/2025
Certification Date: 03/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1688 WILLOW ST. SUITE E
SAN JOSE CA
95125
US

IV. Provider business mailing address

1688 WILLOW ST. SUITE E
SAN JOSE CA
95125
US

V. Phone/Fax

Practice location:
  • Phone: 408-978-3636
  • Fax: 408-445-0320
Mailing address:
  • Phone: 408-978-3636
  • Fax: 408-445-0320

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223E0200X
TaxonomyEndodontics
License NumberDL34802
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License NumberDDS34802
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: