Hey, Find It
Hey, Find It

KENNETH G MIZE DMDPC, NPI 1255338638

Dentist in SHERIDAN, OR

Last Updated on : Jul 08,2007

KENNETH G MIZE DMDPC, NPI 1255338638

About KENNETH G MIZE (NPI 1255338638)


KENNETH G MIZE is a Dentist provider in SHERIDAN, United States. His medical specialization is Dentist with a focus in General Practice.

1255338638 is NPI number of KENNETH G MIZE.

KENNETH G MIZE's primary taxonomy code based on NPI Lookup is 1223G0001X with license number D5811. This taxonomy code refers to Dentist.

KENNETH G MIZE has more than 16 years of experience.

KENNETH G MIZE current practice location address is 411 W MAIN ST, SHERIDAN, OR. KENNETH G MIZE can be reached out via phone at 503-843-4433 and via fax at 503-843-4434 .

You can also correspond with KENNETH G MIZE through mail at mailing address 411 W MAIN ST, SHERIDAN, OR, United States. Mailing address contact number is 503-843-4433.

The enumeration date of KENNETH G MIZE is 30-Jun-2005. The provider is registered as an Individual and the NPI record was last updated 15 years ago.

1255338638 NPI Information

Basic NPI information of KENNETH G MIZE (NPI 1255338638) is provided below.

Name KENNETH G MIZE
National Provider Id (NPI) 1255338638
Entity Type Individual
Gender M
Credential DMDPC
Practice Address 411 W MAIN ST, P.O. BOX 100
SHERIDAN, OR, United States
Practice Telephone 503-843-4433
Practice Fax Number 503-843-4434
Mailing Address 411 W MAIN ST ,
SHERIDAN, OR, United States
Mailing Telephone 503-843-4433
Mailing Fax Number 503-843-4434
Enumeration Date 30-Jun-2005
Last Updated Date 08-Jul-2007

KENNETH G MIZE (NPI 1255338638) Primary Taxonomy Information

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.

Primary Taxonomy Code Clasification License Number License State
Y 1223G0001X Dentist, General Practice D5811 OR

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

KENNETH G MIZE (NPI 1255338638) Office Location

Office location of KENNETH G MIZE is provided in the Google maps below.

Providers in same location

Here are a few of the other providers in the same location.

NPI Name Taxonomy Address Enumeration date
1326318049 MONICA LEE HANKINS Massage Therapist 130 GRANT DR 167096,
SHERIDAN, AR, United States
11-Jan-2012
1790258218 ARIEL WASHINGTON Case Manager/Care Coordinator 201 S ROSE ST,
SHERIDAN, AR, United States
08-Jan-2019
1215086293 ERIN GEHRING Occupational Therapist 919 W 6TH ST,
SHERIDAN, AR, United States
09-Jan-2007
1972654754 SHERIDAN SCHOOL DISTRICT Local Education Agency (LEA) 400 N ROCK ST,
SHERIDAN, AR, United States
16-Jan-2007
1922498211 ADRIANNA JONES Case Manager/Care Coordinator 201 S ROSE ST,
SHERIDAN, AR, United States
26-Jan-2015
1316337629 KIMBERLY SPEER Case Manager/Care Coordinator 201 S ROSE ST,
SHERIDAN, AR, United States
26-Jan-2015
1417094889 HOPE QUARLES JONES Speech-Language Pathologist, 1208 CHURCHILL DR,
BENTON, AR, United States
01-Feb-2007
1922146398 CARRIE MARIE CLAY Speech-Language Pathologist, 13 SUMMIT ST,
SHERIDAN, AR, United States
01-Feb-2007
1467758904 AMY M BENNETT Nurse Practitioner, Family 506 LITTLE CREEK CUT OFF RD,
SHERIDAN, AR, United States
01-Feb-2011
1700926276 ALICIA MICHELLE DAVIDSON Speech-Language Pathologist, 7315 FOXRUN EAST END DR,
MABELVALE, AR, United States
07-Feb-2007
1548684525 BRANDY TAYLOR Case Manager/Care Coordinator 201 S ROSE ST,
SHERIDAN, AR, United States
11-Feb-2014
1295878957 STACEY E SWILLING Dentist, General Practice 1400 W CENTER ST,
SHERIDAN, AR, United States
14-Feb-2007
1073656013 KRISTIN MCCOOL Counselor, Mental Health 301 N OAK ST,
SHERIDAN, AR, United States
15-Feb-2007
1487193926 BRANDIN STEHLE Counselor, Mental Health 201 S ROSE ST,
SHERIDAN, AR, United States
16-Feb-2017
1508130626 DORRIS FAYE WEST Technician/Technologist, Optician 103 SOUTH OAK STREET,
SHERIDAN, AR, United States
07-Mar-2012
1699915207 RICHARD WILSON Social Worker 201 S ROSE ST,
SHERIDAN, AR, United States
23-Feb-2009
1144560327 CHAD EVERET WEST Counselor, Mental Health 220 W VINE ST,
SHERIDAN, AR, United States
25-Feb-2013
1679600035 WILLIAM LARRY FRISBY Dentist 303 W HOLLY ST,
SHERIDAN, AR, United States
27-Feb-2007
1104066299 KIMBERLY R ELLIS Counselor 307 CARPENTER DAM RD STE B,
HOT SPRINGS, AR, United States
02-Mar-2009
1699191007 SARAH DRUMM Occupational Therapist 910 S ROSE ST,
SHERIDAN, AR, United States
10-Mar-2014

How to check whether NPI 1063496693 is valid?

The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

FAQs

Whose NPI Number is 1255338638?

1255338638 is the NPI number of KENNETH G MIZE.

What is the specialty for KENNETH G MIZE?

The Specialty of KENNETH G MIZE is Dentist.

NPI number meaning

Field Name Field Value
NPI 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Business Mailing Address The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code.
Provider Business Mailing Address Telephone Number The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.
Provider Business Practice Location Address Telephone Number The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number The fax number associated with the location address of the provider being identified.
Provider Enumeration Date The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date The date that a record was last updated or changed.
Authorized Official Telephone Number The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy Taxonomy Description of the Healthcare Provider.
Provider License Number Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Source : The information found on this website is provided "AS IS". It is in accordance with the NPPES Data Dissemination Notice, Freedom of Information Act (FOIA), and e-FOIA amendments. Kindly note that we do not guarantee the accuracy and/or reliability of the contents found on the website.