Kayla Michelle Mullins, DDS
Individual provider Active NPI General Practice Dentistry · Fairlawn, VA
NPI 1356861785 · NPPES record last updated Jun 27, 2017
Key facts
- NPI
- 1356861785
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 0401415701 (VA)
- Practice address
- 6051 Belspring Rd
Fairlawn, VA 24141-8567 - Phone
- (540) 639-6688
- NPI assigned
- Jun 27, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401415701 | VA | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 0401415701 | VA | Yes |
Addresses
Primary practice location
6051 Belspring Rd
Fairlawn, VA 24141-8567
Mailing address
PO Box 1691
Radford, VA 24143-1691
Phone (540) 230-4683
Other providers in Fairlawn, VA
- Yancey Evan Lockhart
- Taylor Mann
- Christopher Ronald Martin
- Mary Katherine McClinton-Saunders
- Ahmed Alaaeldin Mohamed Hassan
- New River Economy Drug Inc
- New River Valley Medicine, P.C.
- New River Valley Urgent Care LLC
- Whitney Chase Petrie
- Juan Polanco
All providers in Fairlawn, VA · General Practice Dentistry in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 27, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.