National Provider Identifier
Lisa Kay Mulkin, D.D.S.
Lisa Kay Mulkin, D.D.S. is listed in the NPPES registry with a primary specialty of Oral and Maxillofacial Surgery (Dentist) in Geneva, NY and a listed phone number of (315) 789-3067.
Profile Overview
- NPI
- 1902916307
- Provider Type
- Individual
- Primary Specialty
- Oral and Maxillofacial Surgery (Dentist)
- Enumeration Date
- August 30, 2006
- Last Updated
- March 07, 2023
Practice Location
- 404 William St
- Geneva, NY 14456-2143
Phone: (315) 789-3067
Specialties
- Oral and Maxillofacial Surgery (Dentist) (1223S0112X)
- General Practice Dentistry (1223G0001X)
- Orofacial Pain Dentistry (1223X2210X)
Full Record
- NPI
- 1902916307
- Entity Type
- Individual
- Last Name
- Mulkin
- First Name
- Lisa
- Middle Name
- Kay
- Name Prefix
- Dr.
- Credential
- D.D.S.
- Mailing Street Address
- 404 William St
- Mailing City
- Geneva
- Mailing State
- NY
- Mailing ZIP Code
- 14456-2143
- Mailing Country
- US
- Mailing Phone
- (315) 789-3067
- Mailing Fax
- (315) 789-0056
- Practice Street Address
- 404 William St
- Practice City
- Geneva
- Practice State
- NY
- Practice ZIP Code
- 14456-2143
- Practice Country
- US
- Practice Phone
- (315) 789-3067
- Practice Fax
- (315) 789-0056
- Enumeration Date
- August 30, 2006
- Last Updated
- March 07, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- November 30, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Oral and Maxillofacial Surgery (Dentist) (1223S0112X), General Practice Dentistry (1223G0001X), Orofacial Pain Dentistry (1223X2210X)
- Other Identifiers
- 050514 (NY, New York State License), 70455LM (NY, Bc/Bs Provider Number)