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

MS. Khin Mimi San, BCHD

Individual provider Periodontics · NPI 1689116113

MS. Khin Mimi San, BCHD is a Periodontics in Va Beach, Virginia. Licensed in Virginia. Registered with an NPI since 2016.

Licensed in
VA
In the registry since
2016

Practice location Address checks out

477 Viking Dr Ste 190
Va Beach, VA 23452-7354
Phone: (757) 486-8181
Fax: (757) 463-0148
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 0401416690 (VA)

Record details

NPI number1689116113
Entity typeIndividual (Type 1)
GenderFemale
Credentials BCHD
Sole proprietorNo
NPI enumeratedNovember 15, 2016
Last updated in NPPESMay 21, 2021
Certification dateMay 21, 2021
Mailing address477 Viking Drive, Suite 190, Va Beach, VA 23452-7354