Healthcare Provider Details

I. General information

NPI: 1255405411
Provider Name (Legal Business Name): DEAN SATORU OBAYASHI DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/20/2006
Last Update Date: 01/16/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1029 KAPAHULU AVE DEAN S OBAYASHI DDS SUITE 407
HONOLULU HI
96816
US

IV. Provider business mailing address

1 KEAHOLE PLACE #2304
HONOLULU HI
96825
US

V. Phone/Fax

Practice location:
  • Phone: 808-735-9700
  • Fax: 808-735-7609
Mailing address:
  • Phone: 808-395-3941
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDT1597
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: