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Dr. Lisa Kay Mulkin, DDS
Oral and Maxillofacial Surgery (Dentist) in Geneva, New York
NPI 1902916307

Lisa Kay Mulkin is a Oral and Maxillofacial Surgery (Dentist) based in Geneva, NY and is specialized in Oral and Maxillofacial Surgery. Lisa Kay Mulkin practices in Geneva, NY and has the professional credentials of DDS. The NPI Number for Lisa Kay Mulkin is 1902916307 and holds a License No. 050514-1 (New York).

The current practice location address for Lisa Kay Mulkin is 404 William St, Geneva, NY and can be reached out via phone at 315-789-3067 and via fax at 315-789-0056.

Location: 404 William St, Geneva, NY, 14456-2143
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902916307
Provider Name
Lisa Kay Mulkin
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
404 William St, Geneva, NY, 14456-2143
Phone Number
315-789-3067
Fax Number
315-789-0056
Provider Enumeration Date
08/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
050514 01 NY NEW YORK STATE LICENSE
70455LM 01 NY BC/BS PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
404 William St
City
Geneva
State
New York
Zip
14456-2143
Phone Number
315-789-3067
Fax Number
315-789-0056
person
Provider Business Mailing Address Details
Address
404 William St
City
Geneva
State
New York
Zip
14456-2143
Phone Number
315-789-3067
Fax Number
315-789-0056
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
050514-1 (New York)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
050514-1 (New York)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
person
Provider's Taxonomy Details 3
Type
Dental Providers
Classification
Dentist
Speciality
Orofacial Pain
Taxonomy
1223X2210X
License No.
050514-1 (New York)
Definition
A dentist who assesses, diagnoses, and treats patients with complex chronic orofacial pain and dysfunction disorders, oromotor and jaw behavior disorders, and chronic head/neck pain. The dentist has successfully completed an accredited postdoctoral orofacial pain residency training program for dentists of two or more years duration, in accord with the Commission on Dental Accreditation's Standards for Orofacial Pain Residency Programs, and/or meets the requirements for examination and board certification by the American Board of Orofacial Pain.
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