Individual provider · Type 1 NPI

Elisa Mulkey

Dentist · Festus, MO

NPI number 1619862711 Active

Practice location

627 S Truman Blvd
Festus, MO 63028-2234

Call (636) 777-4679 Map

Mailing address

1002 N Taylor Ave
Crystal City, MO 63019-1210

Specialties and licenses

Taxonomy	Code	License
Student in an Organized Health Care Education/Training Program	390200000X	None listed
Dentist Primary	122300000X	2025024087 (MO)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1619862711

Elisa Mulkey's National Provider Identifier is 1619862711, issued on Jun 10, 2025. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Festus, MO. The record was last updated on Jun 23, 2025.