Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brian Mitchell, DDS

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1619407608

Brian Mitchell, DDS is an Oral Surgery in Kingston, Pennsylvania. Graduated from Marquette University School of Dentistry in 2017, 9 years ago. Practices with Wyoming Valley Oral Surgery PLLC, a 4-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
9
Trained at
Marquette University School of Dentistry
Licensed in
PA
In the registry since
2017
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

550 Third Ave Ste 1
Kingston, PA 18704-5806
Phone: (570) 288-9070
Fax: (570) 288-4201
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence DS042996 (PA)

Record details

NPI number1619407608
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJune 13, 2017
Last updated in NPPESJuly 26, 2023
Certification dateJuly 26, 2023
Mailing address550 Third Avenue Suite 1, Kingston, PA 18704-5806

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORAL SURGERY
Medical schoolMARQUETTE UNIVERSITY SCHOOL OF DENTISTRY
Graduated 2017 (9 years in practice)
Group practice Wyoming Valley Oral Surgery Pllc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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