Organization
MITNICK & HERBST, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VALERIE KAMMAN (OFFICE MANAGER)
(703) 444-3710
Entity
Organization
Contact information
Practice address
21475 RIDGETOP CIR, 200, STERLING, VA 20166-6580
(703) 444-3710
(703) 444-8607
Mailing address
21475 RIDGETOP CIR, 200, STERLING, VA 20166-6580
(703) 444-3710
(703) 444-8607
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
6232
VA
1223P0221X
Pediatric Dentistry
0184
VA
1223P0221X
Pediatric Dentistry
Primary
5876
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008375
—
VA
05
—
0012899
—
VA
Enumeration date
07/12/2011
Last updated
07/12/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us