Active NPI
Ivymont Dental (Amine Dental, PLLC)
- Dental Clinic/Center
- Midlothian, VA
National Provider Identifier
1043124126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- IVYMONT DENTAL (AMINE DENTAL, PLLC)
- Practice address
- 14269 Midlothian Tpke
Midlothian, VA 23113-6560 - Phone
- (423) 747-2779
- NPI assigned
- Sep 28, 2026
- Last updated
- Sep 28, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mahmoud Mohamad Amine, DDS
- Title
- Practice Owner/Dentist
- Phone
- (423) 747-2779
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | NU | Primary |
Addresses
Primary practice location
14269 Midlothian Tpke
Midlothian, VA 23113-6560
Mailing address
14269 Midlothian Tpke
Midlothian, VA 23113-6560
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dentist
- Midlothian, VA
- NPI 1447703046
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790553600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790553600000",
"number": "1043124126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14269 MIDLOTHIAN TPKE",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "231136560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14269 MIDLOTHIAN TPKE",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "231136560",
"telephone_number": "423-747-2779"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IVYMONT DENTAL (AMINE DENTAL, PLLC)",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-28",
"last_updated": "2026-09-28",
"certification_date": "2026-09-28",
"status": "A",
"authorized_official_last_name": "AMINE",
"authorized_official_first_name": "MAHMOUD",
"authorized_official_middle_name": "MOHAMAD",
"authorized_official_title_or_position": "PRACTICE OWNER/DENTIST",
"authorized_official_telephone_number": "423-747-2779",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Midlothian, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.