DR. IDA LYNN ROSE-MIZE DDS NPI 1972673135

NPI Information

  • NPI: 1972673135
  • Provider Name: DR. IDA LYNN ROSE-MIZE, DDS
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Individual
  • Address: 540 THORNTON RD
    LITHIA SPRINGS, GA
    ZIP 30122
  • Phone: (770) 745-5897

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NPI Details

DR. Ida Lynn Rose-mize, DDS is a pediatric dentistry dentist in Lithia Springs, GA. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. DR. Ida Lynn Rose-mize, DDS NPI is 1972673135. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

540 THORNTON RD
LITHIA SPRINGS, GA
ZIP 30122-591
Phone: (770) 745-5897

The enumeration date for this NPI number is 11/8/2006 and was last updated on 3/15/2017.

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
11223P0221XDentistPediatric DentistryDN012631GEORGIAYes

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: 3/30/2025

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