Mize, Travis Wayne

Mize, Travis Wayne is an sole proprietor health care provider with primary practice located at 159 Medical Cir , West Columbia SC 29169-3655. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Periodontics. Dental Providers / Periodontics is his primary health care specialty. Mize, Travis Wayne can be contacted via phone (803) 794-7520.

Contact Information

Primary practice address
159 Medical Cir West Columbia SC 29169-3655
Phone: (803) 794-7520
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 4466 South Carolina
Dental Providers / Periodontics 1223P0300X DN1855503 Massachusetts
Dental Providers / Periodontics 1223P0300X 826 South Carolina

Profile Details

NPI number 1265682686
LBN Legal business name Mize, Travis Wayne
Credentials D.M.D., M.H.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 22nd, 2008
Last updated Jun 4th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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