MITNICK & HERBST PC NPI 1417245481

NPI Information

  • NPI: 1417245481
  • Provider Name: MITNICK & HERBST, PC
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Organization
  • Address: 21475 RIDGETOP CIR
    200
    STERLING, VA
    ZIP 20166
  • Phone: (703) 444-3710

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NPI Details

MITNICK & HERBST, PC is a pediatric dentistry dentist in Sterling, VA. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. MITNICK & HERBST, PC NPI is 1417245481. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

21475 RIDGETOP CIR
200
STERLING, VA
ZIP 20166-580
Phone: (703) 444-3710
Fax: (703) 444-8607

The provider's authorized official is Valerie Kamman .
The authorized official title is Office Manager and has the following contact phone number (703) 444-3710.

The enumeration date for this NPI number is 7/12/2011 and was last updated on 7/12/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice6232VIRGINIANo
21223P0221XDentistPediatric Dentistry0184VIRGINIANo
31223P0221XDentistPediatric Dentistry5876VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10008375MEDICAIDVIRGINIA
20012899MEDICAIDVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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