Elisa Mulkey

Dentist · Festus, MO

Individual Active NPI

NPI number 1619862711

Practice location

627 S Truman Blvd
Festus, MO 63028-2234
Phone
(636) 777-4679

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NPI record

NPI
1619862711
Entity type
Individual (Type 1)
Enumeration date
June 10, 2025
Last updated
June 23, 2025
Certified
June 23, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 2025024087 MO
Student in an Organized Health Care Education/Training Program 390200000X — —

Mailing address

1002 N Taylor Ave
Crystal City, MO 63019-1210
Phone
(314) 602-0862

About Elisa Mulkey

Elisa Mulkey is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 627 S Truman Blvd, Festus, MO 63028-2234. The NPI number 1619862711 was assigned on June 10, 2025 and the record was last updated on June 23, 2025.

Elisa Mulkey lists a license in the registry: #2025024087 (MO) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Elisa Mulkey?

The NPI number is 1619862711.

What is the phone number of Elisa Mulkey?

The phone number listed for the practice location is (636) 777-4679.

Where is Elisa Mulkey located?

627 S Truman Blvd, Festus, MO 63028-2234.

What is the taxonomy code for Elisa Mulkey?

The primary taxonomy code is 122300000X – Dentist; 1 more listed above.

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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