DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. TRAVIS WAYNE MIZE, D.M.D., M.H.S.

Active Sole Proprietor

DR. TRAVIS WAYNE MIZE, D.M.D., M.H.S. is a Periodontology healthcare provider located in WEST COLUMBIA, South Carolina. NPI 1265682686 is currently active in the NPPES registry. Verify at CMS.

Periodontology · WEST COLUMBIA, SC

Registration Details

NPI Number
1265682686
Provider Type
Individual
Gender
Male
NPI Issued
Sep 22, 2008 (17.925726221569 yrs)
Last Updated
Jun 4, 2015
Licenses
4466 (SC)
DN1855503 (MA)
826 (SC)
Sole Proprietor
Yes

Practice Information

Address
159 MEDICAL CIR
WEST COLUMBIA, SC, 291693655
Browse SC providers · Browse ZIP 29169
Phone
8037947520
Primary Specialty
Periodontology
1223P0300X
Additional Specialty
Periodontology
Additional Specialty
Periodontology

Other Periodontology Providers in WEST COLUMBIA, SC

Name Credential NPI
DR. DENNIS WOODROW NEWTON JR. DDS 1740278548
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.