Provider Demographics
NPI:1568679975
Name:KUMASAKA, STEVEN AKIO (DDS)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:AKIO
Last Name:KUMASAKA
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 1:46-030 KAMEHAMEHA HWY
Mailing Address - Street 2:
Mailing Address - City:KANEOHE
Mailing Address - State:HI
Mailing Address - Zip Code:96744-3714
Mailing Address - Country:US
Mailing Address - Phone:808-247-2240
Mailing Address - Fax:808-235-3020
Practice Address - Street 1:46-030 KAMEHAMEHA HWY
Practice Address - Street 2:
Practice Address - City:KANEOHE
Practice Address - State:HI
Practice Address - Zip Code:96744-3714
Practice Address - Country:US
Practice Address - Phone:808-247-2240
Practice Address - Fax:808-235-3020
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI17491223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice