Provider Demographics
NPI:1982430625
Name:MICHELAKI, ELEFTHERIA IRIS (DDS, MSD)
Entity type:Individual
Prefix:DR
First Name:ELEFTHERIA
Middle Name:IRIS
Last Name:MICHELAKI
Suffix:
Gender:F
Credentials:DDS, MSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 FINIKOS STREET
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:GREECE
Mailing Address - Zip Code:14564
Mailing Address - Country:GR
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:220 NAT TURNER BLVD S
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23606-2998
Practice Address - Country:US
Practice Address - Phone:757-240-5711
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-10
Last Update Date:2024-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014190401223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics