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

Dr. Kenneth G Mize, DMDPC

Individual provider General Practice Dentistry · NPI 1255338638

Dr. Kenneth G Mize, DMDPC is a General Practice Dentistry in Sheridan, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2005

Practice location Address checks out

411 W Main St
Sheridan, OR 97378-1117
Phone: (503) 843-4433
Fax: (503) 843-4434
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D5811 (OR)

Record details

NPI number1255338638
Entity typeIndividual (Type 1)
GenderMale
Credentials DMDPC
Sole proprietorYes
NPI enumeratedJune 30, 2005
Last updated in NPPESJuly 8, 2007
Mailing address411 W Main St, P.O. Box 100, Sheridan, OR 97378-1117

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