Edward Francis Mitnitsky, DDS

General Practice Dentistry · Travis Afb, CA

Individual Active NPI

NPI number 1114908084

Practice location

101 Bodin Cir
60TH Dental Squadron/SGDT
Travis Afb, CA 94535-1809
Phone
(707) 423-7072

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NPI record

NPI
1114908084
Entity type
Individual (Type 1)
Enumeration date
November 8, 2005
Last updated
July 13, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X DS025869L PA

Mailing address

745 Dynasty Dr
Fairfield, CA 94534-6617
Phone
(707) 864-1027

About Dr. Mitnitsky

Edward Francis Mitnitsky, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 101 Bodin Cir, 60TH Dental Squadron/SGDT, Travis Afb, CA 94535-1809. The NPI number 1114908084 was assigned on November 8, 2005 and the record was last updated on July 13, 2026.

Dr. Mitnitsky lists a license in the registry: #DS025869L (PA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Edward Francis Mitnitsky, DDS?

The NPI number is 1114908084.

What is the phone number of Dr. Mitnitsky?

The phone number listed for the practice location is (707) 423-7072.

Where is Dr. Mitnitsky located?

101 Bodin Cir, 60TH Dental Squadron/SGDT, Travis Afb, CA 94535-1809.

What is the taxonomy code for Dr. Mitnitsky?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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