Individual provider · Type 1 NPI

John Hideo Mizukawa Ii, DDS

Oral and Maxillofacial Surgery (Dentist) · St. George, UT

NPI number 1104261023 Active

Practice location

1308 E 900 S Ste A
St. George, UT 84790-8730

Fax (435) 674-9967

Other practice locations

  • 415 N Main St Ste 204, Cedar City, UT 84721-6177 · (435) 867-1474

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X12918932 (UT)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1104261023

John Hideo Mizukawa Ii, DDS's National Provider Identifier is 1104261023, issued on May 6, 2013. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in St. George, UT. The record was last updated on Feb 8, 2023.