DR. MITCHELL R. WILKINSON DDS NPI 1063478618

NPI Information

  • NPI: 1063478618
  • Provider Name: DR. MITCHELL R. WILKINSON, DDS
  • Classification: Dentist - 1223P0700X
  • Specialization: Prosthodontics
  • Entity Type: Individual
  • Address: PO BOX 187
    DULCE, NM
    ZIP 87528
  • Phone: (575) 759-3291

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NPI Details

DR. Mitchell R. Wilkinson, DDS is a prosthodontics dentist in Dulce, NM. The provider is 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. DR. Mitchell R. Wilkinson, DDS NPI is 1063478618. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

PO BOX 187
DULCE, NM
ZIP 87528-187
Phone: (575) 759-3291
Fax: (575) 759-3532

The enumeration date for this NPI number is 4/24/2006 and was last updated on 10/18/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0700XDentistProsthodontics15881TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
189D015OTHERTEXASBLUE SHIELD
2P00214022OTHERTEXASRR/MEDICARE
38C1792MEDICARE ID-TYPE UNSPECIFIEDTEXAS
40900169-04MEDICAIDTEXAS
50900169-03MEDICAIDTEXAS
6U20456MEDICARE UPINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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