OrganizationActive
Mgdveladze DDS Inc.
NPI 1205766342 · Dental Clinic/Center · Los Angeles, CA
Mgdveladze DDS Inc. is a Dental Clinic/Center organization in Los Angeles, CA (NPI 1205766342).
Provider details
- NPI number
- 1205766342
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Emiliia Mgdveladze, Chief Executive Officer(424) 216-0718
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(52/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5710 W 83rd St
Los Angeles, CA 90045-4301
Phone: (424) 216-0718
Street-level locationGet directions
Mailing address
5710 W 83rd St
Los Angeles, CA 90045-4301
Registry dates
- Enumerated
- 2026-05-20
- Last updated
- 2026-05-20
- Certified
- 2026-05-20
Frequently asked questions
- What is Mgdveladze DDS Inc.'s NPI number?
- Mgdveladze DDS Inc.'s National Provider Identifier (NPI) is 1205766342, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mgdveladze DDS Inc.?
- Mgdveladze DDS Inc. is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Mgdveladze DDS Inc. located?
- Mgdveladze DDS Inc.'s practice location on file with NPPES is 5710 W 83rd St, Los Angeles, CA 90045-4301.
- What is Mgdveladze DDS Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Mgdveladze DDS Inc. is (424) 216-0718.
- Who is the authorized official for Mgdveladze DDS Inc.?
- The authorized official listed on Mgdveladze DDS Inc.'s NPPES record is Emiliia Mgdveladze, Chief Executive Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mgdveladze DDS Inc.'s NPI active?
- Yes — Mgdveladze DDS Inc.'s NPI (1205766342) is active in the NPPES registry as of the last update on 2026-05-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.