Provider Demographics
NPI:1225309701
Name:LEHIGH VALLEY DENTAL SOLUTIONS
Entity Type:Organization
Organization Name:LEHIGH VALLEY DENTAL SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:MIHALKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-262-1556
Mailing Address - Street 1:3258 CHERRYVILLE RD
Mailing Address - Street 2:
Mailing Address - City:NORTHAMPTON
Mailing Address - State:PA
Mailing Address - Zip Code:18067-1017
Mailing Address - Country:US
Mailing Address - Phone:610-262-1556
Mailing Address - Fax:610-262-1556
Practice Address - Street 1:3258 CHERRYVILLE RD
Practice Address - Street 2:
Practice Address - City:NORTHAMPTON
Practice Address - State:PA
Practice Address - Zip Code:18067-1017
Practice Address - Country:US
Practice Address - Phone:610-262-1556
Practice Address - Fax:610-262-1556
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-16
Last Update Date:2012-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS035397122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty