# IVYMONT DENTAL (AMINE DENTAL, PLLC)

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043124126
- **Authorized official:** DR. MAHMOUD MOHAMAD AMINE DDS (PRACTICE OWNER/DENTIST)
- **Authorized official phone:** (423) 747-2779

## Contact information

- **Practice address:** 14269 MIDLOTHIAN TPKE, MIDLOTHIAN, VA 23113-6560
- **Practice address phone:** (423) 747-2779
- **Mailing address:** 14269 MIDLOTHIAN TPKE, MIDLOTHIAN, VA 23113-6560

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/28/2026
- **Last updated:** 09/28/2026