KENNETH G MIZE DMDPC (NPI# 1801918255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801918255 |
| Entity Type | Organization |
| Organization Name | KENNETH G MIZE DMDPC |
| Practice Address |
411 W Main St Sheridan OR 97378-1117 |
| Mailing Address |
411 W Main St P.o. Box 100 Sheridan OR 97378-1117 |
| Practice Telephone | 5038434433 |
| Practice Fax Number | 5038434434 |
| Mailing Telephone | 5038434433 |
| Mailing Fax Number | 5038434434 |
| Enumeration Date | 2007-04-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KENNETH G MIZE (PRESIDENT) |
| Authorized Official Telephone | 5038434433 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D5811 | OR | Dental Providers |
| Street Address |
411 W MAIN ST |
| City | SHERIDAN |
| State | OR |
| Zip Code | 97378-1117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467837344 | Cody Charron | Dentist | 411 W Main St, Sheridan, OR 97378-1117 | 2015-07-21 |
| 1255338638 | Kenneth G Mize | Dentist | 411 W Main St, Sheridan, OR 97378-1117 | 2005-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386757193 | Andrew Barnes Grasley | General Practice | 2702 Sw Ballston Road, Sheridan, OR 97378 | 2006-08-16 |
| 1902878333 | Kenneth A Kelley | Chiropractor | 639 W Main, Sheridan, OR 97378 | 2006-02-01 |
| 1790951440 | Sheridan Family Chiropractic PC | Chiropractor | 639 W Main, Sheridan, OR 97378 | 2008-05-02 |
| 1265959563 | Bettina Tamice Moore | Counselor | 901 W Main St, Sheridan, OR 97378-1003 | 2017-08-28 |
| 1689047680 | Thunderstruck Farms Inc. | Chiropractor | 639 W Main St, Sheridan, OR 97378-1121 | 2015-11-12 |
| 1013390939 | Tina Hargrove | Chiropractor | 639 W Main St, Sheridan, OR 97378-1121 | 2015-07-09 |
| 1598951634 | Julie Lynn Detamore | Acupuncturist | 552 Nw Evans St, Sheridan, OR 97378-1208 | 2007-09-21 |
| 1376076331 | Timothy Roaden | Peer Specialist | 356 Ne Faulconer Ct, Sheridan, OR 97378-1255 | 2017-04-06 |
| 1932238086 | Nancy Nunley | Registered Nurse | 220 Sw Jefferson St, Sheridan, OR 97378-1720 | 2007-03-05 |
| 1942273818 | Sheridan Fire District | Ambulance | 230 Sw Mill St, Sheridan, OR 97378-1729 | 2006-02-09 |
| Find all providers in zip 97378 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710304324 | James Selcher | Dentist | 3059 Coffeen Ave, Sheridan, WY 82801-9133 | 2014-03-20 |
| 1396056636 | Amanda Jozsa | Dentist | 3960 River Point Pkwy Unit A, Sheridan, CO 80110-3315 | 2010-06-30 |
| 1033345871 | Heather Ann Sturdivant | Dentist | 3480 S Platte River Dr, Apt 9108, Sheridan, CO 80110-2181 | 2009-06-08 |
| 1114110384 | Gary Neal Meling | Dentist | 182 Soldier Creek Rd, Sheridan, WY 82801-9467 | 2007-08-21 |
| 1922213495 | Michelle Lynn Meehan | Dentist | 1465 Burton St, Suite A, Sheridan, WY 82801-2745 | 2007-05-10 |
| 1679600035 | William Larry Frisby | Dentist | 303 W Holly St, Sheridan, AR 72150-2427 | 2007-02-27 |
| 1104824481 | Kevin Scott Mccurry | Dentist | 145 N Connor St, #2, Sheridan, WY 82801-4315 | 2005-07-12 |
| 1639174402 | Randol Clyde Zachry | Dentist | 23 N Scott St, Ste 5, Sheridan, WY 82801-6337 | 2005-06-16 |
| 1295347672 | Taira Katherine Guyer | Dentist | 2056 S Sheridan Ave, Sheridan, WY 82801-6105 | 2020-08-18 |
| 1922632694 | Stanley Caradine | Dentist | 4017 E 2603rd Rd, Sheridan, IL 60551-9502 | 2020-03-02 |
| Find all providers in SHERIDAN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.