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MGDVELADZE DDS INC.
NPI 1205766342
Clinic/Center - Dental in Los Angeles, CA

Active since May 20, 2026
5710 W 83RD ST, LOS ANGELES, CA 90045(424) 216-0718 Get Directions Write a Review

NPPES record last updated: May 20, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mgdveladze Dds Inc. NPPES

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

MGDVELADZE DDS INC. (NPI 1205766342) is a healthcare organization registered as a dental in Los Angeles, California and active in the NPI registry since May 2026. The organization lists Emiliia Mgdveladze, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1205766342
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameMGDVELADZE DDS INC.
Location Address5710 W 83RD STLos Angeles, CA 90045-4301
Mailing Address5710 W 83rd StLos Angeles, CA 90045-4301 · (424) 216-0718
Phone(424) 216-0718
Organization SubpartNo
Authorized OfficialEmiliia MgdveladzeChief Executive Officer · (424) 216-0718
Enumeration DateMay 20, 2026
NPPES CertifiedMay 20, 2026
✔ NPI 1205766342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
5710 W 83RD ST, Los Angeles, CA 90045
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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 Mgdveladze Dds Inc.'s NPI number?

The NPI number for Mgdveladze Dds Inc. is 1205766342. It was assigned to this organization in the NPPES registry on May 20, 2026.

Where is Mgdveladze Dds Inc. located?

Mgdveladze Dds Inc. is located at 5710 W 83rd St, Los Angeles, CA 90045. The listed phone number is (424) 216-0718.

What is Mgdveladze Dds Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Mgdveladze Dds Inc. was last updated on May 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.