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

Mr. Patrick Keone Miyamasu, DDS

Individual provider Dentist · NPI 1992933915

Mr. Patrick Keone Miyamasu, DDS is a Dentist in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2009
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

3210 W 63rd St
Chicago, IL 60629-3325
Phone: (773) 776-8300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 019028007 (IL)

Record details

NPI number1992933915
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedJune 29, 2009
Last updated in NPPESJune 29, 2009
Mailing address3210 W 63rd St, Chicago, IL 60629-3325

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