Organization
HOWARD A. MENDELSOHN D.D.S, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOWARD A MENDELSOHN DDS (PRACTICE OWNER)
(757) 424-1976
Entity
Organization
Contact information
Practice address
6095 INDIAN RIVER RD, VIRGINIA BEACH, VA 23464-3818
(757) 424-1976
(757) 424-3152
Mailing address
6095 INDIAN RIVER RD, VIRGINIA BEACH, VA 23464-3818
(757) 424-1976
(757) 424-3152
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401003992
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03992
DELTA
VA
01
—
150579
UNITED CONCORDIA
VA
01
—
350128
BLUE CROSS BLUE SHIELD
VA
Enumeration date
08/05/2011
Last updated
08/05/2011
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