Provider Demographics
NPI:1902874787
Name:TRAN-YOKOTA, ALLISON P (DDS)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:P
Last Name:TRAN-YOKOTA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:P
Other - Last Name:TRAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:45-093 WAIKALUA RD
Mailing Address - Street 2:
Mailing Address - City:KANEOHE
Mailing Address - State:HI
Mailing Address - Zip Code:96744-2754
Mailing Address - Country:US
Mailing Address - Phone:808-343-5273
Mailing Address - Fax:
Practice Address - Street 1:94-1042 KA UKA BLVD
Practice Address - Street 2:SUITE 202
Practice Address - City:WAIPAHU
Practice Address - State:HI
Practice Address - Zip Code:96797-9679
Practice Address - Country:US
Practice Address - Phone:808-744-0288
Practice Address - Fax:808-744-0779
Is Sole Proprietor?:No
Enumeration Date:2006-03-09
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDT-21361223P0300X
MO20040133311223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics
No1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO407203801Medicaid
BT8927420OtherDEA