Individual
DR. MITCHELL A AVENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
12725 MCMANUS BLVD, BUILDING #1 SUITE A, NEWPORT NEWS, VA 23602
(757) 874-0660
(757) 874-0698
Mailing address
12725 MCMANUS BLVD, BUILDING #1 SUITE A, NEWPORT NEWS, VA 23602
(757) 874-0660
(757) 874-0698
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4981
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
091512
BCBS
—
01
—
4981
DELTA DENTAL
—
05
—
8212775
—
VA
01
—
878129
UNITED CONCORDIA
—
Enumeration date
11/07/2006
Last updated
07/08/2007
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