Individual
DR. RYAN MASAO MIZUMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
55 CAREN AVE STE 270, WORTHINGTON, OH 43085-2515
(614) 885-7721
(614) 888-0284
Mailing address
6779 OAKFAIR AVE, COLUMBUS, OH 43235-2734
(206) 920-6173
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019028088
IL
1223G0001X
General Practice Dentistry
30-023250
OH
1223P0700X
Prosthodontics
Primary
30-023250
OH
Other
Enumeration date
07/17/2009
Last updated
01/07/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us