Individual provider · Type 1 NPI

Edward Francis Mitnitsky, DDS

General Practice Dentistry · Travis Afb, CA

NPI number 1114908084 Active

Practice location

101 Bodin Cir, 60th Dental Squadron/sgdt
Travis Afb, CA 94535-1809

Mailing address

745 Dynasty Dr
Fairfield, CA 94534-6617

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XDS025869L (PA)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1114908084

Edward Francis Mitnitsky, DDS's National Provider Identifier is 1114908084, issued on Nov 8, 2005. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Travis Afb, CA. The record was last updated on Jul 13, 2026.