Search › South Carolina › 1223P0300X
Travis Mize, D.M.D., M.H.S
NPI 1265682686 · on the registry since 2008 · sole proprietor
Practice
- Address
- 159 Medical Cir
West Columbia, SC 29169 - Phone
- (803) 794-7520
- Organisation at this address
- Sunset Periodontics, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1223P0300X
1223P0300X
- Also registered as
- 122300000X
1223P0300X - Licence states on file
- SC, MA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-06-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina