Phylicia Gaelle Michael

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401419051 Issued in VA

Practice address

635 Pilot House Dr
Newport News, VA 23606-1980

Phone

(804) 651-8414

NPI assigned

Mar 28, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1679961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1093419509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 RADIUS WAY",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236029086",
            "telephone_number": "804-651-8414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 PILOT HOUSE DR",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236061980",
            "telephone_number": "804-651-8414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAEL",
        "first_name": "PHYLICIA",
        "middle_name": "GAELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-28",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "DC",
            "license": "DEN200280",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401419051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emmanuel Mgboji Jr.
• MHP Plus
• Paul Joseph Micale, MD
• Michael a. Murphy M.D., P.C.
• Michael E Sagman DDS LTD
• Eleftheria Iris Michelaki, DDS, MSD
• Mid-Atlantic Womens Care PLC
• Mid-Atlantic Womens Care PLC
• Mid-Atlantic Womens Care PLC
• Eric Richard Mierzejewski, DC

• General Practice Dentistry in Newport News, VA
• Providers in Newport News, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.