Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Bernadette Mendoza Mabanglo-Samson, DDS

Individual provider General Practice Dentistry · NPI 1568700912

Dr. Bernadette Mendoza Mabanglo-Samson, DDS is a General Practice Dentistry in Midlothian, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2013
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

11061 Hull Street Rd
Midlothian, VA 23112-3255
Phone: (804) 745-0666
Fax: (804) 675-0938
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 0401413839 (VA)

Record details

NPI number1568700912
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedJanuary 18, 2013
Last updated in NPPESJanuary 18, 2013

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