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Active NPI 1053697201 Individual Practitioner Female Practitioner

Kismet Mayo , DENTURIST

Denturist • Brookings, OR

Professional Overview & Biography Verified Profile Summary

Kismet Mayo, DENTURIST is a registered healthcare professional specializing in Denturist in Brookings, OR. Practice services are available at 1041 CHETCO AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1041 Chetco Ave

Brookings, OR 974157153

Telephone 5414128000

Specialty Benchmarks & Practice Insights

Comparative analytics for Denturist in Brookings, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
4 Specialists

Practicing in Brookings, OR (139 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Denturist Primary Specialty

NUCC Taxonomy Code: 122400000X

State License OR DT-DO-10131106

A denturist is a licensed professional that serves patients with removable dental prosthetic oral health needs. A licensed denturist is trained in removable dental prosthetics and the fabrication of such devices.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1013549575

Licensed Dietitian

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active November 01, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location November 01, 2011

Registered at 1041 CHETCO AVE, BROOKINGS, OR 974157153 (Tel: 5414128000)

📍
Updated Business Mailing Address November 01, 2011

Registered at PO BOX 6459, BROOKINGS, OR 974150279 (Tel: 5414128000)

👤
Provider Name / Credentials Updated November 01, 2011

Recorded as KISMET MAYO, DENTURIST

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 01, 2011

Denturist (License #DT-DO-10131106 in OR)

🟢
Initial NPI Registration & Enumeration November 01, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1053697201
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 01, 2011
Last Update: November 01, 2011
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

Po Box 6459

Brookings, OR 974150279

Phone: 5414128000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.