IndividualActive
Robert Mitchell, DDS
NPI 1104501196 · Dentist · San Diego, CA
Provider details
- NPI number
- 1104501196
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 30.027200 (OH)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
34800 Bob Wilson Dr
San Diego, CA 92134-1098
Phone: (619) 532-6400
Street-level locationGet directions
Mailing address
1449 Andrews St Nw
Hartville, OH 44632-9086
Additional practice locations (2)
- Uss Green Bay Lpd20Unit 10028 Box 2140Fpo, AP 96666Phone: (330) 618-2755
- 2310 Craven StSan Diego, CA 92136-5596Phone: (330) 618-2755
Registry dates
- Enumerated
- 2023-06-19
- Last updated
- 2025-06-20
- Certified
- 2025-06-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.