Individual provider · Type 1 NPI

Mimi M. Halleck, DDS

Dentist · Glen Allen, VA

NPI number 1992780068 Active

Practice location

4424 Springfield Rd, Suite 100
Glen Allen, VA 23060-3412

Fax (804) 270-0460

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X007479 (VA)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1992780068

Mimi M. Halleck, DDS's National Provider Identifier is 1992780068, issued on Dec 13, 2005. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Glen Allen, VA. The record was last updated on Jul 13, 2026.