Provider Type Icon

BYRONSMIZUHA DMDMSD PS NPI 1003269473


NPI Information

NPI: 1003269473
Provider Name: BYRONSMIZUHA DMD,MSD, PS
Classification: Advanced Practice Dental Therapist - 125K00000X
Entity Type: Organization
Address:
19320 40TH AVE W STE B
LYNNWOOD, WA
ZIP 98036
Phone: (425) 771-3000
Get Directions

BYRONSMIZUHA DMD,MSD, PS is an advanced practice dental therapist in Lynnwood, WA. The provider is an Advanced Practice Dental Therapist is:
(1) A dental therapist who has completed additional training beyond basic dental therapy education and provides dental services in accordance with state advanced practice dental therapist laws or statutes; or
(2) A dental hygienist with a graduate degree in advanced dental therapy prepared for independent and interdependent decision making and direct accountability for clinical judgment across the dental health care continuum.

The individual has been authorized by the relevant state board or a tribal entity to provide services under the remote supervision of a dentist. The functions of the advanced practice dental therapist vary based on the needs of the dentist, the educational preparation of the advanced practice dental therapist and state dental practice acts and regulations. BYRONSMIZUHA DMD,MSD, PS NPI is 1003269473. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

19320 40TH AVE W STE B
LYNNWOOD, WA
ZIP 98036-602
Phone: (425) 771-3000
Fax: (425) 771-1319

The provider's authorized official is Byron S. Mizuha .
The authorized official title is Periodontist and has the following contact phone number (425) 771-3000.

The enumeration date for this NPI number is 7/20/2016 and was last updated on 7/20/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1125K00000XAdvanced Practice Dental Therapist4650WASHINGTONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.