| Gene Chickinell Dds Pc | |
|
548 Pacific Avenue Brookings OR 97415 | |
| (541) 469-4995 | |
| (541) 469-4408 |
| Full Name | Gene Chickinell Dds Pc |
|---|---|
| Speciality | Dentist |
| Location | 548 Pacific Avenue, Brookings, Oregon |
| Authorized Official Name and Position | Gene Chickinell (DENTIST) |
| Authorized Official Contact | 5414694995 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gene Chickinell Dds Pc Po Box 8160 Brookings OR 97415 Ph: () - | Gene Chickinell Dds Pc 548 Pacific Avenue Brookings OR 97415 Ph: (541) 469-4995 |
| NPI Number | 1588751127 |
|---|---|
| Provider Enumeration Date | 10/06/2006 |
| Last Update Date | 07/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588751127 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D4605 (Oregon) | Primary |
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