DR. ROYAL WADE MITCHELL (NPI# 1588675102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588675102 |
| Entity Type | Individual |
| Full Name | DR. ROYAL WADE MITCHELL |
| Credential | DDS |
| Practice Address |
3082 S Delaware Ave Springfield MO 65804-6418 |
| Practice Telephone | 4178872441 |
| Practice Fax Number | 4178877242 |
| Mailing Telephone | 4178872441 |
| Mailing Fax Number | 4178877242 |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
12305 | MO | Dental Providers |
| Street Address |
3082 S DELAWARE AVE |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65804-6418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811984024 | Casey S. Moore | Dentist | 3082 S Delaware Ave, Springfield, MO 65804-6418 | 2005-10-03 |
| 1194281410 | Casey S. Moore, Dds LLC | Clinic/Center | 3082 S Delaware Ave, Springfield, MO 65804-6418 | 2019-02-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790393049 | Kathy Forson | Nurse Practitioner | 1235 E. Cherokee St., Springfield, MO 65804 | 2020-07-22 |
| 1306498779 | Anne B Summers, LLC | Social Worker | 1310 E. Kingsley St., Ste C, Springfield, MO 65804 | 2019-07-15 |
| 1790241800 | Margaret Mary Hart | Social Worker | 1845 S Rogers Ave, Springfield, MO 65804 | 2019-02-13 |
| 1598254666 | Casey Carr | Optometrist | 1229 E Seminole St Ste 110, Springfield, MO 65804 | 2018-05-04 |
| 1124520697 | Shelby D White | Behavioral Analyst | 1300 E. Bradford Parkway, Springfield, MO 65804 | 2018-03-01 |
| 1316448343 | Karl Lynham | Massage Therapist | 1200 E Woodhurst Dr R300, Springfield, MO 65804 | 2018-02-25 |
| 1699273763 | Leah Wilson | Counselor | 1322 E Woodgate, Springfield, MO 65804 | 2018-01-24 |
| 1295242626 | Matthew Crisp | Physical Therapist | 3252 E Independence St, Springfield, MO 65804 | 2018-01-08 |
| 1518491042 | Crystal Spangler | Dietitian, Registered | 1965 S Fremont Ave Ste 220, Springfield, MO 65804 | 2017-04-11 |
| 1588012033 | Jeffrey Williams | Pharmacist | 1235 E. Cherokee, Springfield, MO 65804 | 2016-05-25 |
| Find all providers in zip 65804 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356969034 | Dental Professionals of Virginia, P.C. | Dentist | 7015 Old Keene Mill Rd Ste 101, Springfield, VA 22150-2805 | 2020-07-09 |
| 1336790609 | Mahmoud Al Homsi | Dentist | 41 Taylor St. 4th Fl, Springfield, MA 01103 | 2019-09-26 |
| 1730734369 | Taylor Eiford | Dentist | 200 N Fountain Ave, Springfield, OH 45504-2535 | 2019-08-09 |
| 1376198366 | Cynthia Park | Dentist | 8328 Traford Ln Ste B, Springfield, VA 22152-1667 | 2019-08-06 |
| 1588225155 | Mckenzie Dental Center | Dentist | 110 S. 59th St, Springfield, OR 97478 | 2019-06-25 |
| 1376100651 | Haiping Sun | Dentist | 1705 E Primrose St, Springfield, MO 65804-4292 | 2019-05-22 |
| 1740845619 | Patrick Greitzer | Dentist | 251 Hampton Pl, Springfield, OH 45503-2613 | 2019-05-07 |
| 1033674106 | Tags Inc | Dentist | 1557 E Primrose St Ste 116, Springfield, MO 65804-7916 | 2019-02-04 |
| 1366916272 | Baines Dental, LLC | Dentist | 1112 Rickard Rd Ste A, Springfield, IL 62704-1021 | 2019-01-14 |
| 1225502362 | Liebentritt Family Dentistry | Dentist | 191 Main St., Springfield, NE 68059 | 2019-01-11 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65804 |
Please comment or provide details below to improve the information on DR. ROYAL WADE MITCHELL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.