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Contact Information

MATTHEW MIZUKAWA, DMD
1623 THE VANDERBILT CLINIC
NASHVILLE, TN37232-0001
 Phone: 615-343-9403
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oral and Maxillofacial Surgery

1223S0112X 19 Oral Surgery (Dentist only)
Indicates primary specialty

NPI Profile & details for MATTHEW MIZUKAWA · (Male)

NPI Number 1013100551
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 08/18/2007
Last updated 12/10/2012 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • TN License # TN 9578
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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