Organization · Type 2 NPI

Byronsmizuha Dmd,msd, PS

Advanced Practice Dental Therapist · Lynnwood, WA

NPI number 1003269473 Active

Practice location

19320 40th Ave W Ste B
Lynnwood, WA 98036-4602

Fax (425) 771-1319

Specialties and licenses

TaxonomyCodeLicense
Advanced Practice Dental Therapist Primary 125K00000X4650 (WA)

Advanced Practice Dental Therapist: An Advanced Practice Dental Therapist is:<br/>(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<br/>(2) A dental hygienist with a graduate degree in advanced dental therapy prepared for independent and interdependent decision making and direct accountability f…

3 other providers at this address

About NPI 1003269473

Byronsmizuha Dmd,msd, PS's National Provider Identifier is 1003269473, issued on Jul 20, 2016. The primary taxonomy on file is Advanced Practice Dental Therapist (125K00000X), and the practice location is in Lynnwood, WA. The record was last updated on Jul 20, 2016.