Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MIA ALEXIS WILBORNE
NPI 1245172261
Dentist in Wright Patterson Afb, OH

Active since April 08, 2026
4881 SUGAR MAPLE DR, WRIGHT PATTERSON AFB, OH 45433(937) 257-8761 Get Directions Write a Review

NPPES record last updated: July 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 20, 2026, Apr 8, 2026 (2 updates tracked since 2026).

About Mia Alexis Wilborne NPPES

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

MIA ALEXIS WILBORNE (NPI 1245172261) is an individual dentist in Wright Patterson Afb, Ohio, licensed in Virginia (0401420212) and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1245172261
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameMIA ALEXIS WILBORNE
Location Address4881 SUGAR MAPLE DRWright Patterson Afb, OH 45433-5529
Mailing Address2651 Saffron Ln Apt 27Beavercreek, OH 45431-2378 · (808) 754-5193
Sole ProprietorYes
Enumeration DateApril 8, 2026
Last NPPES UpdateJuly 20, 20262 updates tracked since enumeration
NPPES CertifiedJuly 20, 2026
NPI 1245172261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in VA · 0401420212
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.
4881 SUGAR MAPLE DR, Wright Patterson Afb, OH 45433

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.

Pharmacist
4881 SUGAR MAPLE DR
FAIRBORN, OH 45433
Pharmacist
4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433
Internal Medicine
4881 SUGAR MAPLE DR
WPAFB, OH 45433
Military Health Care Provider (Independent Duty Medical Technicians)
4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433
Radiology (Nuclear Radiology)
4881 SUGAR MAPLE DR, 88 DTS/SGQX
WRIGHT PATTERSON AFB, OH 45433
Dietitian, Registered
4881 SUGAR MAPLE DR
WPAFB, OH 45433
Military Health Care Provider (Independent Duty Medical Technicians)
4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433
Radiologic Technologist (Radiation Therapy)
4881 SUGAR MAPLE DR, 88TH MDOS/SGOMR
WRIGHT PATTERSON AFB, OH 45433

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mia Wilborne's NPI number?

The NPI number for Mia Wilborne is 1245172261. It was assigned to this individual provider in the NPPES registry on April 8, 2026.

Where is Mia Wilborne located?

Mia Wilborne practices at 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433. The listed phone number is (937) 257-8761.

What is Mia Wilborne's specialty?

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

When was this NPI record last updated?

The NPPES record for Mia Wilborne was last updated on July 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.