Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH G MIZE DMDPC
Active OrganizationKENNETH G MIZE DMDPC is a Dentist organization located in SHERIDAN, Oregon. NPI 1801918255 is currently active in the NPPES registry. Verify at CMS.
Dentist · SHERIDAN, OR
Registration Details
- NPI Number
- 1801918255
- Provider Type
- Organization
- NPI Issued
- Apr 5, 2007 (19.340757507471 yrs)
- Last Updated
- Aug 22, 2020
- License
-
D5811 (OR)
Practice Information
- Address
-
411 W MAIN STSHERIDAN, OR, 973781117Browse OR providers · Browse ZIP 97378
- Phone
- 5038434433
- Fax
- 5038434434
- Primary Specialty
-
Dentist
122300000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.