Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KENNETH G MIZE, DMDPC
Active Sole ProprietorDR. KENNETH G MIZE, DMDPC is a General Dentistry healthcare provider located in SHERIDAN, Oregon. NPI 1255338638 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · SHERIDAN, OR
Registration Details
- NPI Number
- 1255338638
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 30, 2005 (21.126212744578 yrs)
- Last Updated
- Jul 8, 2007
- License
-
D5811 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
411 W MAIN STSHERIDAN, OR, 973781117Browse OR providers · Browse ZIP 97378
- Phone
- 5038434433
- Fax
- 5038434434
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in SHERIDAN, OR
| Name | Credential | NPI |
|---|---|---|
| CODY CHARRON | — | 1467837344 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.