Individual provider · Type 1 NPI
Michael David Villa, DDS
Periodontics · Flushing, NY
NPI number
1669204665
Active
Practice location
15406 Jewel Ave Apt 3C
Flushing, NY 11367-1846
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 064134 (NY) |
| Dental Hygienist | 124Q00000X | 027079 (NY) |
| Periodontics | 1223P0300X | 22DI03015600 (NJ) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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- Fan Yang, DDSPeriodontics Flushing, NY NPI 1699143917
- Eileen G. Schein, DDSPeriodontics Flushing, NY NPI 1861416273
- David Mao, DDS, P.H.D.Periodontics Flushing, NY NPI 1912099110
About NPI 1669204665
Michael David Villa, DDS's National Provider Identifier is 1669204665, issued on Aug 17, 2024. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Flushing, NY. The record was last updated on Aug 19, 2024.