Dr. Mitchell R. Wilkinson
Prosthodontist
Po Box 187
Dulce
, New Mexico 87528-0187
Dr. Mitchell R. Wilkinson
Prosthodontist
Po Box 187
Dulce
, New Mexico 87528-0187
(575) 759-3532
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About
Features
Specialties
- Prosthodontist
Languages spoken
- English
Location
First Address
- Dr. Mitchell R. Wilkinson
- Po Box 187
- Dulce, NM
- Zip : 87528-0187
- Fax : (575) 759-3532
- Phone : (575) 759-3291
Second Address
- Dr. Mitchell R. Wilkinson
- Po Box 187
- Dulce, NM
- Zip : 87528-0187
- Fax : (575) 759-3532
- Phone : (575) 759-3291
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0700X | Prosthodontist | 15881 | TX |
National Provider Identifier
| NPI | 1063478618 |
|---|---|
| Provider Name | Dr. Mitchell R. Wilkinson |
| First Address | Dulce, NM 87528-0187 |
| Second Address | Dulce, NM 87528-0187 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/04/2006 |
| Last Update Date | 18/10/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0900169-03 | (05) | TX |
| 0900169-04 | (05) | TX |
| 89D015 | BLUE SHIELD (01) | TX |
| P00214022 | RR/MEDICARE (01) | TX |
| U20456 | (02) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.