Mikhail Dental Services, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401412186 Issued in VA

Legal business name

MIKHAIL DENTAL SERVICES, PLLC

Practice address

1602 Village Market Blvd SE
Suite #130
Leesburg, VA 20175-4669

Phone

(571) 455-0466

NPI assigned

Oct 8, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Raymond Mikhail, DDSNPI 1669666145

Title

Managing Member

Phone

(571) 455-0466

Specialties & licenses 1

Addresses

Other names 1

• Advanced Dental Care Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Raymond Mikhail, DDS

  • Dentist
  • Leesburg, VA
  • NPI 1669666145
  NPD (past) Authorized official

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

{
    "created_epoch": "1318032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318032000000",
    "number": "1265716252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 VILLAGE MARKET BLVD SE",
            "address_2": "SUITE #130",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201754669",
            "telephone_number": "571-455-0466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 VILLAGE MARKET BLVD SE",
            "address_2": "SUITE #130",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201754669",
            "telephone_number": "571-455-0466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIKHAIL DENTAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-08",
        "last_updated": "2011-10-08",
        "status": "A",
        "authorized_official_last_name": "MIKHAIL",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "571-455-0466",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401412186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sepehr Mesdaghinia, M.D.
• Andrew P Meyer, DO
• Nicole Michaels, LCSW
• Sarah Michaels, LCSW
• Mike Vazzana LPC LLC
• Raymond Mikhail, DDS
• Barbara Mikula, L. AC.
• Laura Johanna Miles, RN
• Gene S Miller, LPC, LMFT
• Hayley Brooke Miller, RDN

• General Practice Dentistry in Leesburg, VA
• Providers in Leesburg, 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 Oct 8, 2011; 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.