Dr. Matthew Mizukawa
Oral and Maxillofacial Surgeon
1623 The Vanderbilt Clinic
Nashville
, Tennessee 37232-0001
Dr. Matthew Mizukawa
Oral and Maxillofacial Surgeon
1623 The Vanderbilt Clinic
Nashville
, Tennessee 37232-0001
(615) 343-9403
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Matthew Mizukawa
- 1623 The Vanderbilt Clinic
- Nashville, TN
- Zip : 37232-0001
- Phone : (615) 343-9403
Second Address
- Dr. Matthew Mizukawa
- 1623 The Vanderbilt Clinic
- Nashville, TN
- Zip : 37232-0001
- Phone : (615) 343-9403
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | TN 9578 | TN |
National Provider Identifier
| NPI | 1013100551 |
|---|---|
| Provider Name | Dr. Matthew Mizukawa |
| First Address | Nashville, TN 37232-0001 |
| Second Address | Nashville, TN 37232-0001 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/08/2007 |
| Last Update Date | 10/12/2012 |
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.