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

Dr. Michael David Villa, DDS

Individual provider Periodontics · NPI 1669204665

Dr. Michael David Villa, DDS is a Periodontics in Flushing, New York. Practices as a sole proprietor. Licensed in New Jersey and New York.

Licensed in
NJ, NY
In the registry since
2024
Specialties on file
3
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

15406 Jewel Ave Apt 3C
Flushing, NY 11367-1846
Phone: (347) 552-6661
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 064134 (NY)
Dental Hygienist Taxonomy 124Q00000X · Licence 027079 (NY)
Periodontics Taxonomy 1223P0300X · Licence 22DI03015600 (NJ)

Record details

NPI number1669204665
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedAugust 17, 2024
Last updated in NPPESAugust 19, 2024
Certification dateAugust 19, 2024
Mailing address15406 Jewel Ave Apt 3c, Flushing, NY 11367-1846

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