Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jacqueline Mikhly, DMD

Individual provider Pediatric Dentistry · NPI 1790096584

Dr. Jacqueline Mikhly, DMD is a Pediatric Dentistry in Staten Island, New York. Licensed in New Jersey and New York. Registered with an NPI since 2010.

Licensed in
NJ, NY
In the registry since
2010
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

475 Seaview Ave
Staten Island, NY 10305-3436
Phone: (718) 226-9877
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 22DI02529300 (NJ)
Pediatric Dentistry Taxonomy 1223P0221X · Licence 055982 (NY)

Record details

NPI number1790096584
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedJune 25, 2010
Last updated in NPPESJanuary 28, 2019

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