Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1063478618 Individual Practitioner Male Practitioner

Dr. Mitchell R. Wilkinson , DDS

Dentist - Prosthodontics • Dulce, NM

Professional Overview & Biography Verified Profile Summary

Dr. Mitchell Wilkinson, DDS is a registered healthcare professional specializing in Dentist - Prosthodontics in Dulce, NM. Practice services are available at PO BOX 187 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

Po Box 187

Dulce, NM 875280187

Telephone 5757593291
Fax 5757593532
Associated Practice Facility / Clinic
🏢 Dulce Health Center Facility NPI 1750388963

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Prosthodontics in Dulce, NM

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

Practicing in Dulce, NM (17 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 - Prosthodontics Primary Specialty

NUCC Taxonomy Code: 1223P0700X

State License TX 15881

That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0900169-03 (TX)
Medicaid State Provider ID
0900169-04 (TX)
Commercial Insurance / Payer ID Blue Shield
89D015 (TX)
Commercial Insurance / Payer ID Rr/medicare
P00214022 (TX)

Practice Associates & Co-Workers

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

23 Associated Practitioners
Deanna Iovine , RN

Registered Nurse

NPI 1013215813

Registered Nurse

Dr. Sirpa Autio , MD

Family Medicine

NPI 1134158405

Doctor of Medicine (M.D.)

Phyllis Morehead , RN

Registered Nurse

NPI 1134490790

Registered Nurse

NPI 1164917373

OPTICIANLICENSEFL

Katherine Berry , RDH

Dental Hygienist

NPI 1194834242

Registered Dental Hygienist

NPI 1265591606

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active October 18, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location October 18, 2017

Registered at PO BOX 187, DULCE, NM 875280187 (Tel: 5757593291)

📍
Updated Business Mailing Address October 18, 2017

Registered at PO BOX 187, DULCE, NM 875280187 (Tel: 5757593291)

👤
Provider Name / Credentials Updated October 18, 2017

Recorded as MITCHELL WILKINSON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 18, 2017

Dentist (License #15881 in TX)

NPI Profile Active November 09, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location November 09, 2009

Registered at 3245 HOSPITAL DR, JUNEAU, AK 998017809 (Tel: 9074634000)

📍
Updated Business Mailing Address November 09, 2009

Registered at 3245 HOSPITAL DR, JUNEAU, AK 998017809 (Tel: 9074634000)

👤
Provider Name / Credentials Updated November 09, 2009

Recorded as MITCHELL WILKINSON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 09, 2009

Dentist (License #15881 in TX)

🟢
Initial NPI Registration & Enumeration April 24, 2006

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: 1063478618
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 24, 2006
Last Update: October 18, 2017
Sole Proprietor: No

Mailing Address

Po Box 187

Dulce, NM 875280187

Phone: 5757593291

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.