| East Coast Centre For Cosmetic Dentistry And Facial Aesthetics | |
|
3304 Arctic Ave Virginia Beach VA 23451-2913 | |
| (757) 481-3305 | |
| (757) 481-7157 |
| Full Name | East Coast Centre For Cosmetic Dentistry And Facial Aesthetics |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3304 Arctic Ave, Virginia Beach, Virginia |
| Authorized Official Name and Position | Stanley Leroy Chickey (PRESIDENT) |
| Authorized Official Contact | 7574813305 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Coast Centre For Cosmetic Dentistry And Facial Aesthetics 3304 Arctic Ave Virginia Beach VA 23451-2913 Ph: (757) 481-3305 | East Coast Centre For Cosmetic Dentistry And Facial Aesthetics 3304 Arctic Ave Virginia Beach VA 23451-2913 Ph: (757) 481-3305 |
| NPI Number | 1558850776 |
|---|---|
| Provider Enumeration Date | 05/02/2018 |
| Last Update Date | 06/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558850776 | NPI | - | NPPES |
| 1770586216 | Other | PERSONAL NPI NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0401005366 (Virginia) | Primary |
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