1013069111 NPI number — DR. MITCHELL WILLIAM WILBERT DDS

Table of content: DR. MITCHELL WILLIAM WILBERT DDS (NPI 1013069111)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1013069111 NPI number — DR. MITCHELL WILLIAM WILBERT DDS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
WILBERT
Provider First Name:
MITCHELL
Provider Middle Name:
WILLIAM
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DDS
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1013069111
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 25
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WESTERNVILLE
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
13486-0025
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
315-827-4534
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
710 BLACK RIVER BLVD N
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ROME
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
13440-4328
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
315-339-5364
Provider Business Practice Location Address Fax Number:
315-339-5365
Provider Enumeration Date:
01/17/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1223G0001X , with the licence number:  039265 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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