| Coastal Smile Design | |
|
1464 Mount Pleasant Rd Suite 26 Chesapeake VA 23322-4043 | |
| (757) 233-9885 | |
| (757) 233-0182 |
| Full Name | Coastal Smile Design |
|---|---|
| Speciality | Dentist |
| Location | 1464 Mount Pleasant Rd, Chesapeake, Virginia |
| Authorized Official Name and Position | Karen A Parvin (PRESIDENT) |
| Authorized Official Contact | 7572339885 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Smile Design 1464 Mount Pleasant Rd Suite 26 Chesapeake VA 23322-4043 Ph: (757) 233-9885 | Coastal Smile Design 1464 Mount Pleasant Rd Suite 26 Chesapeake VA 23322-4043 Ph: (757) 233-9885 |
| NPI Number | 1710245725 |
|---|---|
| Provider Enumeration Date | 04/26/2012 |
| Last Update Date | 11/16/2020 |
| Medicare PECOS PAC ID | 5890100630 |
|---|---|
| Medicare Enrollment ID | O20210209001363 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710245725 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 0401411126 (Virginia) | Primary |
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