Healthcare Provider Details

I. General information

NPI: 1841284569
Provider Name (Legal Business Name): STEVE A SATO D.D.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/08/2005
Last Update Date: 10/25/2021
Certification Date: 10/25/2021
Deactivation Date: 04/12/2006
Reactivation Date: 04/12/2006

III. Provider practice location address

1222 S PATTERSON BLVD STE 140
DAYTON OH
45402-2643
US

IV. Provider business mailing address

1222 S PATTERSON BLVD STE 140
DAYTON OH
45402-2643
US

V. Phone/Fax

Practice location:
  • Phone: 937-226-1400
  • Fax: 937-226-7494
Mailing address:
  • Phone: 937-226-1400
  • Fax: 937-226-7494

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number14984
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number14984
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: