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DR. MANDALENE JAYNE MIRKHAH DDS
NPI 1205197126
Dentist in Phoenix, AZ

Active since June 07, 2012
717 W GLENDALE AVE, PHOENIX, AZ 85021(602) 561-4092 Get Directions Write a Review

NPPES record last updated: November 7, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mandalene Jayne Mirkhah Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MANDALENE JAYNE MIRKHAH DDS (NPI 1205197126) is an individual dentist in Phoenix, Arizona, licensed in Arizona (D008869) and active in the NPI registry since June 2012.

NPPES Registry Identity

NPI1205197126
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. MANDALENE JAYNE MIRKHAHCredential: DDS
Location Address717 W GLENDALE AVEPhoenix, AZ 85021-8629
Mailing Address717 W Glendale AvePhoenix, AZ 85021-8629 · (602) 861-0800
Phone(602) 561-4092
Sole ProprietorNo
Enumeration DateJune 7, 2012
Last NPPES UpdateNovember 7, 2017
✔ NPI 1205197126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in AZ · D008869
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
717 W GLENDALE AVE, Phoenix, AZ 85021
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and more.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOHN MAURICE GOODWIN DDS
Dentist
717 W GLENDALE AVE
PHOENIX, AZ 85021
Maricopa County (602) 861-0800
MANDALENE MIRKHAH DDS PLLC
Dentist
717 W GLENDALE AVE
PHOENIX, AZ 85021
Maricopa County (602) 861-0800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mandalene Mirkhah's NPI number?

The NPI number for Mandalene Mirkhah is 1205197126. It was assigned to this individual provider in the NPPES registry on June 7, 2012.

Where is Mandalene Mirkhah located?

Mandalene Mirkhah practices at 717 W Glendale Ave, Phoenix, AZ 85021. The listed phone number is (602) 561-4092.

What is Mandalene Mirkhah's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Mandalene Mirkhah accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 3 other insurers list Mandalene Mirkhah as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mandalene Mirkhah was last updated on November 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.