DR. MICHAEL DAVID VILLA DDS NPI 1669204665

NPI Information

  • NPI: 1669204665
  • Provider Name: DR. MICHAEL DAVID VILLA, DDS
  • Classification: Dentist - 1223P0300X
  • Specialization: Periodontics
  • Entity Type: Individual
  • Address: 15406 JEWEL AVE APT 3C
    FLUSHING, NY
    ZIP 11367
  • Phone: (347) 552-6661

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NPI Details

DR. Michael David Villa, DDS is a periodontics dentist in Flushing, NY. The provider is 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. DR. Michael David Villa, DDS NPI is 1669204665. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

15406 JEWEL AVE APT 3C
FLUSHING, NY
ZIP 11367-846
Phone: (347) 552-6661

The enumeration date for this NPI number is 8/17/2024 and was last updated on 8/19/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0300XDentistPeriodontics064134NEW YORKYes
2124Q00000XDental Hygienist027079NEW YORKNo
31223P0300XDentistPeriodontics22DI03015600NEW JERSEYNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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