Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RYAN MASAO MIZUMOTO, DMD
ActiveDR. RYAN MASAO MIZUMOTO, DMD is a Pediatric Dentistry healthcare provider located in WORTHINGTON, Ohio. NPI 1578793006 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · WORTHINGTON, OH
Registration Details
- NPI Number
- 1578793006
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 17, 2009 (17.089015181299 yrs)
- Last Updated
- Jan 7, 2019
- Licenses
-
019028088 (IL)30-023250 (OH)30-023250 (OH)
Practice Information
- Address
-
55 CAREN AVE STE 270WORTHINGTON, OH, 430852515Browse OH providers · Browse ZIP 43085
- Phone
- 6148857721
- Fax
- 6148880284
- Primary Specialty
-
Pediatric Dentistry
1223P0700X
- Additional Specialty
- General Dentistry
- Additional Specialty
- Pediatric Dentistry
Other Pediatric Dentistry Providers in WORTHINGTON, OH
| Name | Credential | NPI |
|---|---|---|
| DR. KIM ALLEN LAURELL | DDS MS | 1659300572 |
| DR. RICHARD PRATT CUNNINGHAM | DDS | 1952331456 |
| DR. BRADLEY A PURCELL | DDS, MS | 1073779575 |
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.