IndividualActive
Edward Mitnitsky, DDS
NPI 1114908084 · General Practice Dentistry · Travis Afb, CA
Edward Mitnitsky, DDS is a General Practice Dentistry provider in Travis Afb, CA (NPI 1114908084).
Provider details
- NPI number
- 1114908084
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- License
- DS025869L (PA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
101 Bodin Cir
60th Dental Squadron/Sgdt
Travis Afb, CA 94535-1809
Phone: (707) 423-7072
Street-level locationGet directions
Mailing address
745 Dynasty Dr
Fairfield, CA 94534-6617
Registry dates
- Enumerated
- 2005-11-08
- Last updated
- 2007-07-08
Frequently asked questions
- What is Edward Mitnitsky's NPI number?
- Edward Mitnitsky's National Provider Identifier (NPI) is 1114908084, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Edward Mitnitsky's specialty?
- Edward Mitnitsky is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Edward Mitnitsky located?
- Edward Mitnitsky's practice location on file with NPPES is 101 Bodin Cir, Travis Afb, CA 94535-1809.
- What is Edward Mitnitsky's phone number?
- The practice phone number listed in the NPPES registry for Edward Mitnitsky is (707) 423-7072.
- Is Edward Mitnitsky's NPI active?
- Yes — Edward Mitnitsky's NPI (1114908084) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.