Individual
DR. ALBERT B. MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6120B WOODLAND AVE #2, PHILADELPHIA, PA 19142
(215) 727-4721
(267) 350-5932
Mailing address
4700 WISSAHICKON AVE STE 118, PHILADELPHIA, PA 19144-4248
(267) 597-3600
(267) 597-3622
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS026092L
PA
1223G0001X
General Practice Dentistry
PADS026092-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001135605
—
PA
Enumeration date
12/16/2006
Last updated
08/04/2021
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