BYRONSMIZUHA DMD,MSD, PS
NPI 1003269473
Advanced Practice Dental Therapist in Lynnwood, WA

Q: What is Byronsmizuha Dmd,msd, Ps's NPI number?

The NPI number for Byronsmizuha Dmd,msd, Ps is 1003269473. It was assigned to this organization in the NPPES registry on July 20, 2016.

Q: What is Byronsmizuha Dmd,msd, Ps's specialty?

The primary specialty registered for this NPI is Advanced Practice Dental Therapist with taxonomy code 125K00000X.

Active since July 20, 2016

19320 40TH AVE W STE B, LYNNWOOD, WA 98036(425) 771-3000(425) 771-1319 Get Directions Write a Review

NPPES record last updated: July 20, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Byronsmizuha Dmd,msd, Ps NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BYRONSMIZUHA DMD,MSD, PS (NPI 1003269473) is a healthcare organization registered as an advanced practice dental therapist in Lynnwood, Washington and active in the NPI registry since July 2016. The organization lists Byron S. Mizuha, Periodontist, as its authorized official.

NPPES Registry Identity

NPI1003269473

Entity TypeOrganization

Primary Taxonomy125K00000X

Legal Business NameBYRONSMIZUHA DMD,MSD, PS

Location Address19320 40TH AVE W STE BLynnwood, WA 98036-4602

Mailing Address19320 40th Ave W Ste BLynnwood, WA 98036-4602 · (425) 771-3000 · Fax (425) 771-1319

Phone(425) 771-3000

Fax(425) 771-1319

Organization SubpartNo

Authorized OfficialByron S. MizuhaPeriodontist · (425) 771-3000

Enumeration DateJuly 20, 2016

✔ NPI 1003269473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdvanced Practice Dental TherapistDental Providers

Taxonomy Code125K00000X

License✔ Licensed in WA · 4650

Definition

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.

19320 40TH AVE W STE B, Lynnwood, WA 98036

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HYUNSEO PARK

Dentist

19320 40TH AVE W STE B
LYNNWOOD, WA 98036

Snohomish County (425) 510-2134

HYUN S PARK PS CORP

Dentist (General Practice)

19320 40TH AVE W STE B
LYNNWOOD, WA 98036

Snohomish County (425) 510-2134

DR. MARK A JANCZAKOWSKI DDS

Dentist (General Practice)

19320 40TH AVE W STE B
LYNNWOOD, WA 98036

Snohomish County (425) 771-9090

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Byronsmizuha Dmd,msd, Ps's NPI number?

The NPI number for Byronsmizuha Dmd,msd, Ps is 1003269473. It was assigned to this organization in the NPPES registry on July 20, 2016.

Where is Byronsmizuha Dmd,msd, Ps located?

Byronsmizuha Dmd,msd, Ps is located at 19320 40th Ave W Ste B, Lynnwood, WA 98036. The listed phone number is (425) 771-3000.

What is Byronsmizuha Dmd,msd, Ps's specialty?

The primary specialty registered for this NPI is Advanced Practice Dental Therapist with taxonomy code 125K00000X.

When was this NPI record last updated?

The NPPES record for Byronsmizuha Dmd,msd, Ps was last updated on July 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.