Provider Demographics
NPI:1346862786
Name:MIKHAIL DAYA DMD PA
Entity Type:Organization
Organization Name:MIKHAIL DAYA DMD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/AUTHORIZED OFFICIAL
Authorized Official - Prefix:DR
Authorized Official - First Name:MIKHAIL
Authorized Official - Middle Name:JOSE GREGORIO
Authorized Official - Last Name:DAYA ATTIE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:954-941-2727
Mailing Address - Street 1:1800 N FEDERAL HWY STE 201
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33062-1021
Mailing Address - Country:US
Mailing Address - Phone:954-941-2727
Mailing Address - Fax:
Practice Address - Street 1:1800 N FEDERAL HWY STE 201
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33062-1021
Practice Address - Country:US
Practice Address - Phone:954-941-2727
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-08
Last Update Date:2021-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty