| Mitchell Dental Corp | |
|
14895 E 14th St Ste 420 San Leandro CA 94578-2928 | |
| (510) 846-5366 | |
| Not Available |
| Full Name | Mitchell Dental Corp |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 14895 E 14th St Ste 420, San Leandro, California |
| Authorized Official Name and Position | Teri Mitchell (PRESIDENT) |
| Authorized Official Contact | 4159662203 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mitchell Dental Corp 4400 Keller Ave Ste 140 Oakland CA 94605-4233 | Mitchell Dental Corp 14895 E 14th St Ste 420 San Leandro CA 94578-2928 Ph: (510) 846-5366 |
| NPI Number | 1285576629 |
|---|---|
| Provider Enumeration Date | 04/06/2026 |
| Last Update Date | 09/16/2026 |
| Certification Date | 09/16/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285576629 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (NU) | Primary |
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