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

Dr. Mandalene Jayne Mirkhah, DDS

Individual provider Dentist · NPI 1205197126

Dr. Mandalene Jayne Mirkhah, DDS is a Dentist in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2012.

Licensed in
AZ
In the registry since
2012
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

717 W Glendale Ave
Phoenix, AZ 85021-8629
Phone: (602) 561-4092
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D008869 (AZ)

Record details

NPI number1205197126
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedJune 7, 2012
Last updated in NPPESNovember 7, 2017

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