Healthcare Provider Details

I. General information

NPI: 1114839859
Provider Name (Legal Business Name): SAAYA SAKODA
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

64 MEDICAL CENTER DR
MORGANTOWN WV
26505-3409
US

IV. Provider business mailing address

64 MEDICAL CENTER DR
MORGANTOWN WV
26505-3409
US

V. Phone/Fax

Practice location:
  • Phone: 304-293-0627
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberIP2601
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: