# KENT K KUSAKABE D.D.S., P.S.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215372313
- **Authorized official:** DR. KENT KOSHI KUSAKABE D.D.S. (PRESIDENT)
- **Authorized official phone:** (206) 660-4488

## Contact information

- **Practice address:** 8435 161ST AVE NE STE 2, REDMOND, WA 98052-1513
- **Practice address phone:** (206) 660-4488
- **Mailing address:** 8831 206TH ST SE APT B, SNOHOMISH, WA 98296-5167
- **Mailing address phone:** (206) 660-4488

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 603288637 | WA | Yes |

## Other

- **Enumeration date:** 05/02/2013
- **Last updated:** 05/02/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 5001813 | — | WA |