Provider Demographics
NPI:1588472104
Name:OKI, DAYTON
Entity type:Individual
Prefix:
First Name:DAYTON
Middle Name:
Last Name:OKI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6717 ROOSEVELT WAY NE APT 415
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98115-6696
Mailing Address - Country:US
Mailing Address - Phone:808-255-9849
Mailing Address - Fax:
Practice Address - Street 1:6717 ROOSEVELT WAY NE APT 415
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98115-6696
Practice Address - Country:US
Practice Address - Phone:808-255-9849
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-28
Last Update Date:2024-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE615541961223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics