Dr. John Hideo Mizukawa II
Oral and Maxillofacial Surgeon
140 E Division Rd
Oak Ridge
, Tennessee 37830-6937
Dr. John Hideo Mizukawa II
Oral and Maxillofacial Surgeon
140 E Division Rd
Oak Ridge
, Tennessee 37830-6937
(865) 482-8686
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. John Hideo Mizukawa II
- 140 E Division Rd
- Oak Ridge, TN
- Zip : 37830-6937
- Fax : (865) 482-8686
- Phone : (865) 482-5811
Second Address
- Dr. John Hideo Mizukawa II
- 140 E Division Rd
- Oak Ridge, TN
- Zip : 37830-6937
- Fax : (865) 482-8686
- Phone : (865) 482-5811
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | DS10505 | TN |
National Provider Identifier
| NPI | 1104261023 |
|---|---|
| Provider Name | Dr. John Hideo Mizukawa II |
| First Address | Oak Ridge, TN 37830-6937 |
| Second Address | Oak Ridge, TN 37830-6937 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/05/2013 |
| Last Update Date | 17/03/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.