MRS. KISMET MAYO DENTURIST NPI 1053697201

NPI Information

  • NPI: 1053697201
  • Provider Name: MRS. KISMET MAYO, DENTURIST
  • Classification: Denturist - 122400000X
  • Entity Type: Individual
  • Address: 1041 CHETCO AVE
    BROOKINGS, OR
    ZIP 97415
  • Phone: (541) 412-8000

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NPI Details

MRS. Kismet Mayo, DENTURIST is a denturist in Brookings, OR. The provider is a denturist is a licensed professional that serves patients with removable dental prosthetic oral health needs. A licensed denturist is trained in removable dental prosthetics and the fabrication of such devices. MRS. Kismet Mayo, DENTURIST NPI is 1053697201. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1041 CHETCO AVE
BROOKINGS, OR
ZIP 97415-153
Phone: (541) 412-8000

The enumeration date for this NPI number is 11/1/2011 and was last updated on 11/1/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1122400000XDenturistDT-DO-10131106OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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