Healthcare Provider Details

I. General information

NPI: 1902874787
Provider Name (Legal Business Name): ALLISON P TRAN-YOKOTA DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALLISON P TRAN DDS

II. Dates (important events)

Enumeration Date: 03/09/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

94-1042 KA UKA BLVD SUITE 202
WAIPAHU HI
96797-9679
US

IV. Provider business mailing address

45-093 WAIKALUA RD
KANEOHE HI
96744-2754
US

V. Phone/Fax

Practice location:
  • Phone: 808-744-0288
  • Fax: 808-744-0779
Mailing address:
  • Phone: 808-343-5273
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License NumberDT-2136
License Number StateHI
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number2004013331
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: