Courtney T Mietz, DMD MS
Individual provider Active NPI Orthodontics and Dentofacial Orthopedics Dentistry · Lincoln, CA
NPI 1306630751 · NPPES record last updated Mar 3, 2026
Key facts
- NPI
- 1306630751
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
- License
- 112725 (CA)
- Practice address
- 2295 Fieldstone Dr Ste 260
Lincoln, CA 95648-8810 - Phone
- (916) 408-8688
- NPI assigned
- Apr 8, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 112725 | CA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| George D Bankhead DDS Ms PC | Orthodontics and Dentofacial Orthopedics | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 112725 | CA | Yes |
Addresses
Primary practice location
2295 Fieldstone Dr Ste 260
Lincoln, CA 95648-8810
Mailing address
2295 Fieldstone Dr Ste 260
Lincoln, CA 95648-8810
Other providers in Lincoln, CA
- Taralyn Marie Meskowsky
- Metro Medical Associates, Inc.
- Michael J. Proiette O.D., Inc.
- Scott Christopher Michaelson
- David Mickelsen
- Devan Marissa Miller
- Martha Miller
- Ashley Mills
- Kailauna Mills
- Louis Miqueo
All providers in Lincoln, CA · Orthodontics and Dentofacial Orthopedics Dentistry in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 3, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.