Dental Board of California
Licensing details for: 36765
Name: HAYASHI, RANDALL TOYSON
License Type: Dentist
Primary Status: Current - Active
Address of Record
8102 Pollard Ave
FAIR OAKS CA 95628-6059
SACRAMENTO county
Map
License Relationships
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: R.T. HAYASHI, DDS, INC.
License/Registration Type: Additional Office Permit
License Number: 11028 Primary Status: Cancelled
Address :
3428 WATT AVENUE, SUITE A
SACRAMENTO CA 95821
SACRAMENTO COUNTY
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: R.T. HAYASHI, DDS, INC.
License/Registration Type: Additional Office Permit
License Number: 10919 Primary Status: Cancelled
Address :
3428 WATT AVE., STE B
SACRAMENTO CA 95821
SACRAMENTO COUNTY
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: HAYASHI DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 12064 Primary Status: Cancelled
Address :
601 W KETTLEMAN LANE
STE B
LODI CA 95240
SAN JOAQUIN COUNTY
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: R.T. HAYASHI, D.D.S., INC.
License/Registration Type: Additional Office Permit
License Number: 12072 Primary Status: Cancelled
Address :
5723 MARCONI AVE
SUITE A
CARMICHAEL CA 95608
SACRAMENTO COUNTY
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: RANDALL T. HAYASHI DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 12071 Primary Status: Cancelled
Address :
6600 MERCY COURT
SUITE 200
FAIR OAKS CA 95628
SACRAMENTO COUNTY
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: HAYASHI DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 10358 Primary Status: Cancelled
Address :
531 KETTLEMAN LANE
LODI CA 95240
SAN JOAQUIN COUNTY
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: R.T. HAYASHI DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 79532 Primary Status: Cancelled
Address :
9600 FAIRWAY DR STE 150
ROSEVILLE CA 95678
PLACER COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: CEVA DENTAL SPECIALTY GROUP, DENTAL GROUP OF R.T. HAYASHI, DDS, I
License/Registration Type: Fictitious Name Permit
License Number: 10262 Primary Status: Cancelled
Address :
3428 WATT AVENUE, STE. B
SACRAMENTO CA 95821
SACRAMENTO COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: ROTUNDA DENTAL CARE, A DENTAL PRACTICE OF RANDALL HAYASHI, DDS, I
License/Registration Type: Fictitious Name Permit
License Number: 9679 Primary Status: Cancelled
Address :
300 FRANK OGAWA PLAZA, STE. 100
OAKLAND CA 94612
ALAMEDA COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: AESTHETIC DENTAL DESIGNS
License/Registration Type: Fictitious Name Permit
License Number: 5259 Primary Status: Cancelled
Address :
1006 H STREET
MODESTO CA 95354
STANISLAUS COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: FAMILY DENTAL SPECIALTY GROUP, DENTAL GROUP OF R.T. HAYASHI, DDS
License/Registration Type: Fictitious Name Permit
License Number: 10349 Primary Status: Cancelled
Address :
3428 WATT AVENUE #B
SACRAMENTO CA 95821
SACRAMENTO COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: AESTHETIC DENTAL DESIGNS, DENTAL OFFICE OF RANDALL T. HAYASHI, DD
License/Registration Type: Fictitious Name Permit
License Number: 7707 Primary Status: Cancelled
Address :
1006 H STREET
MODESTO CA 95354
STANISLAUS COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: MARCONI FAMILY DENTAL & SPECIALTY GROUP, A DENTAL PRACTICE OF R.T. HAYASHI, DDS., INC.
License/Registration Type: Fictitious Name Permit
License Number: 13972 Primary Status: Cancelled
Address :
5723 MARCONI AVE STE A
CARMICHAEL CA 95608
SACRAMENTO COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: MODERN DENTAL HEALTH, DENTAL GROUP OF R.T. HAYASHI, DDS, INC.
License/Registration Type: Fictitious Name Permit
License Number: 10263 Primary Status: Cancelled
Address :
3428 WATT AVENUE, STE. A
SACRAMENTO CA 95821
SACRAMENTO COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: WELLCARE DENTAL GROUP OF STOCKTON, PRACTICE OF RANDALL T. HAYASHI
License/Registration Type: Fictitious Name Permit
License Number: 9222 Primary Status: Cancelled
Address :
1036 W ROBINHOOD DRIVE
STE. 104
STOCKTON CA 95207
SAN JOAQUIN COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: MADISON OAKS DENTAL CARE DENTAL PRACTICE OF RANDALL T. HAYASHI DE
License/Registration Type: Fictitious Name Permit
License Number: 12599 Primary Status: Cancelled
Address :
6600 MERCY COURT, SUITE 200
FAIR OAKS CA 95628
SACRAMENTO COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: WELLCARE DENTAL GROUP OF LODI, PRACTICE OF HAYASHI DENTAL CORPORA
License/Registration Type: Fictitious Name Permit
License Number: 9243 Primary Status: Cancelled
Address :
531 W. KETTLEMAN LANE
LODI CA 95240
SAN JOAQUIN COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: FAMILY DENTAL & SPECIALTY GROUP A DENTAL PRACTICE OF R.T HAYASHI,
License/Registration Type: Fictitious Name Permit
License Number: 12555 Primary Status: Cancelled
Address :
5723 MARCONI AVENUE, SUITE A
CARMICHAEL CA 95608
SACRAMENTO COUNTY



