IndividualActive
Mitchell Wilkinson, DDS
NPI 1063478618 · Prosthodontics · Dulce, NM
Provider details
- NPI number
- 1063478618
- Entity type
- Individual
- Primary specialty
- ProsthodonticsDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 15881 (TX)
Specialties & taxonomies
Dental Providers
Practice location
Po Box 187
Dulce, NM 87528-0187
Phone: (575) 759-3291
Fax: (575) 759-3532
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 187
Dulce, NM 87528-0187
Registry dates
- Enumerated
- 2006-04-24
- Last updated
- 2017-10-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.