Provider Demographics
NPI:1578609285
Name:MENDELSOHN & HUNYH
Entity Type:Organization
Organization Name:MENDELSOHN & HUNYH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:IRA
Authorized Official - Middle Name:
Authorized Official - Last Name:MENDELSOHN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:609-641-1065
Mailing Address - Street 1:8003 LAGOON DR
Mailing Address - Street 2:
Mailing Address - City:MARGATE CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:08402-1614
Mailing Address - Country:US
Mailing Address - Phone:609-641-1065
Mailing Address - Fax:609-645-0162
Practice Address - Street 1:1 S NEW YORK AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:ATLANTIC CITY
Practice Address - State:NJ
Practice Address - Zip Code:08401-8012
Practice Address - Country:US
Practice Address - Phone:609-345-1155
Practice Address - Fax:609-345-5323
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2009-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI01124100122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty