Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1245172261 Individual Practitioner Female Practitioner

Mia Alexis Wilborne

Dentist • Wright Patterson Afb, OH

Professional Overview & Biography Verified Profile Summary

Mia Wilborne is a registered healthcare professional specializing in Dentist in Wright Patterson Afb, OH. Practice services are available at 4881 SUGAR MAPLE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4881 Sugar Maple Dr

Wright Patterson Afb, OH 454335529

Telephone 9372578761
Associated Practice Facility / Clinic
🏢 United States Air Force Facility NPI 1407842347

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Wright Patterson Afb, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.4 Yrs
Regional Practice Density
9 Specialists

Practicing in Wright Patterson Afb, OH (2953 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

CMS Verified: 2026-07-20
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License VA 0401420212

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

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

15 Associated Practitioners
Dr. John Warnick , DDS

Dentist - General Practice

NPI 1083605703

Doctor of Dental Surgery

Dr. David Rupp , DDS

Dentist - General Practice

NPI 1114908225

Doctor of Dental Surgery

Lori Saturley , RDH

Dental Hygienist

NPI 1154974095

Registered Dental Hygienist

NPI 1326295213

Doctor of Dental Surgery

Dr. Gary Mayne , DDS, MS

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1417017120

Doctor of Dental Surgery, Master of Science

Jake Laxer

Dentist - General Practice

NPI 1417578717

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location July 20, 2026

Registered at 4881 SUGAR MAPLE DR, WRIGHT PATTERSON AFB, OH 454335529 (Tel: 9372578761)

📍
Updated Business Mailing Address July 20, 2026

Registered at 2651 SAFFRON LN APT 27, BEAVERCREEK, OH 454312378 (Tel: 8087545193)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 20, 2026

Dentist (License #0401420212 in VA)

NPI Profile Active April 08, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location April 08, 2026

Registered at 600 W ST NW # 2005, WASHINGTON, DC 200591022 (Tel: 2028060007)

📍
Updated Business Mailing Address April 08, 2026

Registered at 13103 ROCKPOINTE CT, CLIFTON, VA 201240961 (Tel: 8087545193)

👤
Provider Name / Credentials Updated April 08, 2026

Recorded as MIA WILBORNE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 08, 2026

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 08, 2026

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: 1245172261
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 08, 2026
Last Update: July 20, 2026
Sole Proprietor: Yes

Mailing Address

2651 Saffron Ln Apt 27

Beavercreek, OH 454312378

Phone: 8087545193

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.