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

Dr. Mitchell Douglas Duckworth, DDS

Individual provider Dental Anesthesiology · NPI 1649530601

Dr. Mitchell Douglas Duckworth, DDS is a Dental Anesthesiology in Stony Brook, New York. Works from 2 locations. Licensed in Utah.

Licensed in
UT
In the registry since
2012
Specialties on file
2
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.

See every abbreviation used in this directory →

Practice location Partly verified

Some contact details are missing from the federal record.

Stony Brook University Hospital Dept OF
Stony Brook, NY 11794-8711
Phone: (631) 444-2557
Fax: (631) 444-6013
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5136 S Cottonwood Ln, Holladay, UT 84117-7102 — (801) 718-6395

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Dental Anesthesiology Taxonomy 1223D0004X · Licence 8926334-9924 (UT)

Record details

NPI number1649530601
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedMay 24, 2012
Last updated in NPPESMay 19, 2025
Certification dateMay 19, 2025
Mailing address5136 S Cottonwood Ln, Holladay, UT 84117-7102

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