Provider Demographics
NPI:1922422831
Name:KENNETH ALBINDER DDS,MS,LTD
Entity Type:Organization
Organization Name:KENNETH ALBINDER DDS,MS,LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:
Authorized Official - Last Name:ALBINDER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS,MS
Authorized Official - Phone:757-495-7866
Mailing Address - Street 1:4291 HOLLAND RD
Mailing Address - Street 2:112
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23452-1939
Mailing Address - Country:US
Mailing Address - Phone:757-495-7866
Mailing Address - Fax:757-495-1844
Practice Address - Street 1:4291 HOLLAND RD
Practice Address - Street 2:112
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23452-1939
Practice Address - Country:US
Practice Address - Phone:757-495-7866
Practice Address - Fax:757-495-1844
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-12
Last Update Date:2014-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA040431223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty