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MRS. KISMET MAYO DENTURIST
NPI 1053697201
Denturist in Brookings, OR

Active since November 01, 2011
1041 CHETCO AVE, BROOKINGS, OR 97415(541) 412-8000 Get Directions Write a Review

NPPES record last updated: November 1, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Kismet Mayo Denturist NPPES

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

MRS. KISMET MAYO DENTURIST (NPI 1053697201) is an individual denturist in Brookings, Oregon, licensed in Oregon (DT-DO-10131106) and active in the NPI registry since November 2011.

NPPES Registry Identity

NPI1053697201
Entity TypeIndividualFemale
Primary Taxonomy122400000X
Provider Legal NameMRS. KISMET MAYOCredential: DENTURIST
Location Address1041 CHETCO AVEBrookings, OR 97415-7153
Mailing AddressPo Box 6459Brookings, OR 97415-0279 · (541) 412-8000
Phone(541) 412-8000
Sole ProprietorYes
Enumeration DateNovember 1, 2011
✔ NPI 1053697201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDenturistDental Providers
Taxonomy Code122400000X
License✔ Licensed in OR · DT-DO-10131106
Definition
A denturist is a licensed professional that serves patients with removable dental prosthetic oral health needs. A licensed denturist is trained in removable dental prosthetics and the fabrication of such devices.
1041 CHETCO AVE, Brookings, OR 97415
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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 Kismet Mayo's NPI number?

The NPI number for Kismet Mayo is 1053697201. It was assigned to this individual provider in the NPPES registry on November 1, 2011.

Where is Kismet Mayo located?

Kismet Mayo practices at 1041 Chetco Ave, Brookings, OR 97415. The listed phone number is (541) 412-8000.

What is Kismet Mayo's specialty?

The primary specialty registered for this NPI is Denturist with taxonomy code 122400000X.

When was this NPI record last updated?

The NPPES record for Kismet Mayo was last updated on November 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.