Individual provider · Type 1 NPI

Michael J. Miyamoto, DDS, M.S.D.

Orthodontics and Dentofacial Orthopedics Dentistry · Kent, WA

NPI number 1720356124 Active

Practice location

24837 104th Ave SE Ste 200
Kent, WA 98030-6800

Other practice locations

  • 4901 Point Fosdick Dr NW Ste 300, Gig Harbor, WA 98335-1846 · (253) 858-8020

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XDE60904232 (WA)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1720356124

Michael J. Miyamoto, DDS, M.S.D.'s National Provider Identifier is 1720356124, issued on Dec 13, 2011. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Kent, WA. The record was last updated on Mar 18, 2019.