IndividualActive
Brian Mitchell, DDS
NPI 1619407608 · Oral and Maxillofacial Surgery (Dentist) · Kingston, PA
Provider details
- NPI number
- 1619407608
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- DS042996 (PA)
Specialties & taxonomies
Dental Providers
Practice location
550 Third Avenue Suite 1
Kingston, PA 18704-5806
Phone: (570) 288-9070
Fax: (570) 288-4201
Approximate (ZIP-level) locationGet directions
Mailing address
550 Third Avenue Suite 1
Kingston, PA 18704-5806
Registry dates
- Enumerated
- 2017-06-13
- Last updated
- 2023-07-26
- Certified
- 2023-07-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.