Provider Demographics
NPI:1215915244
Name:SAIKU, JIMMY MASAMI (DDS)
Entity type:Individual
Prefix:DR
First Name:JIMMY
Middle Name:MASAMI
Last Name:SAIKU
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2449 SW CAPITAL DR
Mailing Address - Street 2:
Mailing Address - City:OAK HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98277-8128
Mailing Address - Country:US
Mailing Address - Phone:360-675-9261
Mailing Address - Fax:
Practice Address - Street 1:2449 SW CAPITAL DR
Practice Address - Street 2:
Practice Address - City:OAK HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98277-8128
Practice Address - Country:US
Practice Address - Phone:360-675-9261
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-09
Last Update Date:2012-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE000080661223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice