Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Courtney Miyamoto, DDS

Individual provider General Practice Dentistry · NPI 1891271987

Dr. Courtney Miyamoto, DDS is a General Practice Dentistry in Fond Du Lac, Wisconsin. Works from 3 locations. Licensed in Hawaii and Wisconsin.

Licensed in
HI, WI
In the registry since
2018
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

545 E Johnson St
Fond Du Lac, WI 54935-2856
Phone: (920) 924-9090
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1885 Main St Ste 203, Wailuku, HI 96793-1827 — (808) 242-7007
  • 2100 Miller Park Way, West Milwaukee, WI 53219-1641 — (414) 645-4540

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 1001957 (WI)
General Practice Dentistry Taxonomy 1223G0001X · Licence DT2760 (HI)

Record details

NPI number1891271987
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedJuly 12, 2018
Last updated in NPPESOctober 30, 2020
Certification dateOctober 29, 2020

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