# HOWARD A. MENDELSOHN D.D.S, PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1700165974
- **Authorized official:** HOWARD A MENDELSOHN DDS (PRACTICE OWNER)
- **Authorized official phone:** (757) 424-1976

## Contact information

- **Practice address:** 6095 INDIAN RIVER RD, VIRGINIA BEACH, VA 23464-3818
- **Practice address phone:** (757) 424-1976
- **Practice address fax:** (757) 424-3152
- **Mailing address:** 6095 INDIAN RIVER RD, VIRGINIA BEACH, VA 23464-3818
- **Mailing address phone:** (757) 424-1976
- **Mailing address fax:** (757) 424-3152

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 0401003992 | VA | Yes |

## Other

- **Enumeration date:** 08/05/2011
- **Last updated:** 08/05/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 03992 | DELTA | VA |
| 01 | — | 150579 | UNITED CONCORDIA | VA |
| 01 | — | 350128 | BLUE CROSS BLUE SHIELD | VA |