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Byronsmizuha Dmd,msd, Ps
Advanced Practice Dental Therapist in Lynnwood, Washington
NPI 1003269473

Byronsmizuha Dmd,msd, Ps is an Advanced Practice Dental Therapist based in Lynnwood, WA. Byronsmizuha Dmd,msd, Ps practices in Lynnwood, WA. The NPI Number for Byronsmizuha Dmd,msd, Ps is 1003269473 and holds a License No. 4650 (Washington).

The current practice location address for Byronsmizuha Dmd,msd, Ps is 19320 40Th Ave W Ste B, Lynnwood, WA and can be reached out via phone at 425-771-3000 and via fax at 425-771-1319. You can also correspond with Byronsmizuha Dmd,msd, Ps through the mailing address at 19320 40TH AVE W STE B, LYNNWOOD, WA - 98036-4602 (mailing address contact number: 425-771-3000).

Location: 19320 40Th Ave W Ste B, Lynnwood, WA, 98036-4602
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1003269473
Provider Name
Byronsmizuha Dmd,msd, Ps
Credential
Provider Entity Type
Organization
Address
19320 40Th Ave W Ste B, Lynnwood, WA, 98036-4602
Phone Number
425-771-3000
Fax Number
425-771-1319
Provider Enumeration Date
07/20/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
19320 40Th Ave W Ste B
City
Lynnwood
State
Washington
Zip
98036-4602
Phone Number
425-771-3000
Fax Number
425-771-1319
person
Provider Business Mailing Address Details
Address
19320 40Th Ave W Ste B
City
Lynnwood
State
Washington
Zip
98036-4602
Phone Number
425-771-3000
Fax Number
425-771-1319
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Advanced Practice Dental Therapist
Speciality
-
Taxonomy
125K00000X
License No.
4650 (Washington)
Definition
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 for clinical judgment across the dental health care continuum.<br/>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.
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