Mitnick & Herbst, Pc

LBN: Mitnick & Herbst, Pc
Mitnick & Herbst, Pc is an health care organization with primary practice located at 21475 Ridgetop Cir 200, Sterling VA 20166-6580. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is the primary health care specialty. Mitnick & Herbst, Pc can be contacted via phone (703) 444-3710, or through Kamman, Valerie via phone (703) 444-3710.

Contact Information

Primary practice address
21475 Ridgetop Cir 200 Sterling VA 20166-6580
Fax: (703) 444-8607
Website:
Authorized official contact:
Name: Kamman, Valerie

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 6232 Virginia
Dental Providers / Pediatric Dentistry 1223P0221X 5876 Virginia
Dental Providers / Pediatric Dentistry 1223P0221X 0184 Virginia

Profile Details

NPI number 1417245481
LBN Legal business name Mitnick & Herbst, Pc
DBA Doing business as
Authorized official Kamman, Valerie
Entity Organization
Organization subpart 1 No
Enumeration date Jul 12th, 2011
Last updated Jul 12th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417245481 NPPES
Virginia MEDICAID 0008375
Virginia MEDICAID 0012899

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