Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114908084 Individual Practitioner Male Practitioner

Dr. Edward Francis Mitnitsky , DDS

Dentist - General Practice • Travis Afb, CA

Professional Overview & Biography Verified Profile Summary

Dr. Edward Mitnitsky, DDS is a registered healthcare professional specializing in Dentist - General Practice in Travis Afb, CA. Practice services are available at 101 BODIN CIR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

101 Bodin Cir
60th Dental Squadron/sgdt

Travis Afb, CA 945351809

Telephone 7074237072
Associated Practice Facility / Clinic
🏢 60 Msgs Facility NPI 1306826953

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Travis Afb, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
24 Specialists

Practicing in Travis Afb, CA (18734 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License PA DS025869L

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Edward Rodriguez , IDMT

Military Health Care Provider - Independent Duty Medical Technicians

NPI 1003043761
Kendra Hill , PT

Physical Therapist

NPI 1003232448

Physical Therapist

Dr. Timothy Guenther , MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1003261892

Doctor of Medicine (M.D.)

NPI 1003475302

Doctor of Pharmacy (Pharm.D.)

Catherine Branstetter

Dentist - General Practice

NPI 1003601733
Martin Ockert , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003857293

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 101 BODIN CIR, 60TH DENTAL SQUADRON/SGDT, TRAVIS AFB, CA 945351809 (Tel: 7074237072)

📍
Updated Business Mailing Address July 08, 2007

Registered at 745 DYNASTY DR, FAIRFIELD, CA 945346617 (Tel: 7078641027)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as EDWARD MITNITSKY, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #DS025869L in PA)

🟢
Initial NPI Registration & Enumeration November 08, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114908084
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 08, 2005
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

745 Dynasty Dr

Fairfield, CA 945346617

Phone: 7078641027

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.