Michael David Villa, DDS

Periodontics · Flushing, NY

Individual Active NPI

NPI number 1669204665

Practice location

15406 Jewel Ave Apt 3c
Flushing, NY 11367-1846
Phone
(347) 552-6661

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NPI record

NPI
1669204665
Entity type
Individual (Type 1)
Enumeration date
August 17, 2024
Last updated
August 19, 2024
Certified
August 19, 2024
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Periodontics Primary 1223P0300X 064134 NY
Dental Hygienist 124Q00000X 027079 NY
Periodontics 1223P0300X 22DI03015600 NJ

About Dr. Villa

Michael David Villa, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Periodontics (code 1223P0300X). The practice location is 15406 Jewel Ave Apt 3c, Flushing, NY 11367-1846. The NPI number 1669204665 was assigned on August 17, 2024 and the record was last updated on August 19, 2024.

Dr. Villa lists 3 licenses in the registry: #064134 (NY) for Periodontics; #027079 (NY) for Dental Hygienist; #22DI03015600 (NJ) for Periodontics. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Michael David Villa, DDS?

The NPI number is 1669204665.

What is the phone number of Dr. Villa?

The phone number listed for the practice location is (347) 552-6661.

Where is Dr. Villa located?

15406 Jewel Ave Apt 3c, Flushing, NY 11367-1846.

What is the taxonomy code for Dr. Villa?

The primary taxonomy code is 1223P0300X – Periodontics; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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