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

Dr. Ryan Masao Mizumoto, DMD

Individual provider Dentist · NPI 1578793006

Dr. Ryan Masao Mizumoto, DMD is a Dentist in Worthington, Ohio. Works from 3 locations. Licensed in Illinois and Ohio.

Licensed in
IL, OH
In the registry since
2009
Specialties on file
3
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

55 Caren Ave Ste 270
Worthington, OH 43085-2515
Phone: (614) 885-7721
Fax: (614) 888-0284
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 5155 Bradenton Ave Ste 110, Dublin, OH 43017-7559 — (614) 798-0083
  • 7393 Broadview Rd Ste E, Seven Hills, OH 44131-4445 — (216) 524-2499

Specialties & licences

Prosthodontics (primary) Taxonomy 1223P0700X · Licence 30-023250 (OH)
Dentist Taxonomy 122300000X · Licence 019028088 (IL)
General Practice Dentistry Taxonomy 1223G0001X · Licence 30-023250 (OH)

Record details

NPI number1578793006
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJuly 17, 2009
Last updated in NPPESJanuary 7, 2019

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