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Active NPI 1033343645 Individual Practitioner Female Practitioner

Dr. Lini Cai Mickus , DMD

Dentist - General Practice • Herndon, VA

Professional Overview & Biography Verified Profile Summary

Dr. Lini Mickus, DMD is a registered healthcare professional specializing in Dentist - General Practice in Herndon, VA. Practice services are available at 1141 ELDEN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1141 Elden St

Herndon, VA 201705549

Telephone 7034432000
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Herndon, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.6 Yrs
Regional Practice Density
41 Specialists

Practicing in Herndon, VA (3535 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-01-08
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License AL 000150

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist

NUCC Taxonomy Code: 122300000X

State License AZ 9123

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License VA 0401418800

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1013634831

DENTALHYGIENIST

Adrianne Gruner , FNP

Nurse Practitioner - Primary Care

NPI 1023777273

Family Nurse Practitioner

Dr. Yusuf Khan , MD

Family Medicine

NPI 1073593885

Doctor of Medicine (M.D.)

NPI 1093932618

Doctor of Medicine (M.D.)

Krista Hale , LPC

Counselor - Professional

NPI 1154810026

Licensed Professional Counselor

Debra Dever , RN MN

Registered Nurse - Administrator

NPI 1184611675

RNMN

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location January 08, 2026

Registered at 1141 ELDEN ST, HERNDON, VA 201705549 (Tel: 7034432000)

📍
Updated Business Mailing Address January 08, 2026

Registered at 1141 ELDEN ST, HERNDON, VA 201705549 (Tel: 7034432000)

📍
Updated Practice Location August 05, 2019

Registered at 3060 MOBILE HWY, MONTGOMERY, AL 361084027 (Tel: 8438135281)

📍
Updated Business Mailing Address August 05, 2019

Registered at 3060 MOBILE HWY, MONTGOMERY, AL 361084027 (Tel: 8438135281)

👤
Provider Name / Credentials Updated August 05, 2019

Recorded as LINI MICKUS, D.M.D

NPI Profile Active April 23, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location April 23, 2015

Registered at 5270 W. BASELINE RD ST130, LAVEEN, AZ 85339 (Tel: 8438135281)

📍
Updated Business Mailing Address April 23, 2015

Registered at 5270 W BASELINE RD STE 130, LAVEEN, AZ 853396959 (Tel: 8438135281)

👤
Provider Name / Credentials Updated April 23, 2015

Recorded as LINI CAI, D.M.D

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 23, 2015

Dentist (License #9123 in AZ)

🟢
Initial NPI Registration & Enumeration May 11, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1033343645
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 11, 2009
Last Update: January 08, 2026
Sole Proprietor: Yes

Mailing Address

1141 Elden St

Herndon, VA 201705549

Phone: 7034432000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.