Provider Demographics
NPI:1609099787
Name:CHIKASUYE, CARL SATOSHI (DDS)
Entity type:Individual
Prefix:DR
First Name:CARL
Middle Name:SATOSHI
Last Name:CHIKASUYE
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 1:600 KAPIOLANI BLVD
Mailing Address - Street 2:SUIT #204
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-5147
Mailing Address - Country:US
Mailing Address - Phone:808-533-2861
Mailing Address - Fax:808-533-3761
Practice Address - Street 1:600 KAPIOLANI BLVD
Practice Address - Street 2:SUIT #204
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-5147
Practice Address - Country:US
Practice Address - Phone:808-533-2861
Practice Address - Fax:808-533-3761
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI0951122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist