ROBERT THOMAS MITCHELL DDS
NPI 1104501196
Dentist in San Diego, CA

Q: What is Robert Mitchell's NPI number?

The NPI number for Robert Mitchell is 1104501196. It was assigned to this individual provider in the NPPES registry on June 19, 2023.

Q: What is Robert Mitchell's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Robert Mitchell was last updated on June 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 19, 2023

34800 BOB WILSON DR, SAN DIEGO, CA 92134(619) 532-6400 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 20, 2025, Jul 23, 2024, Jun 19, 2023 (3 updates tracked since 2023).

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About Robert Thomas Mitchell Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROBERT THOMAS MITCHELL DDS (NPI 1104501196) is an individual dentist in San Diego, California, licensed in Ohio (30.027200) and active in the NPI registry since June 2023. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1104501196

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameROBERT THOMAS MITCHELLCredential: DDS

Location Address34800 BOB WILSON DRSan Diego, CA 92134-1098

Mailing Address1449 Andrews St NwHartville, OH 44632-9086 · (330) 618-2755

Phone(619) 532-6400

Sole ProprietorNo

Enumeration DateJune 19, 2023

Last NPPES UpdateJune 20, 20253 updates tracked since enumeration

NPPES CertifiedJune 20, 2025

✔ NPI 1104501196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in OH · 30.027200

Definition

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 requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

34800 BOB WILSON DR, San Diego, CA 92134

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Secondary Practice Locations 2

Location 12310 Craven StSan Diego, CA 92136-5596 · Phone (330) 618-2755

Location 2USS GREEN BAY LPD20, UNIT 10028 BOX 2140FPO, AP 96666 · Phone (330) 618-2755

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LORENA MARIE FUJII N.P.

Nurse Practitioner (Pediatrics)