Avent, Mitchell A

Avent, Mitchell A is an individual health care provider with primary practice located at 12725 Mcmanus Blvd Building #1 Suite A, Newport News VA 23602. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Avent, Mitchell A can be contacted via phone (757) 874-0660.

Contact Information

Primary practice address
12725 Mcmanus Blvd Building #1 Suite A Newport News VA 23602
Fax: (757) 874-0698
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 4981 Virginia

Profile Details

NPI number 1730258583
LBN Legal business name Avent, Mitchell A
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730258583 NPPES
Other 4981 DELTA DENTAL
Other 878129 DELTA DENTAL
Other 091512 DELTA DENTAL
MEDICAID 8212775 DELTA DENTAL

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