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Organization
CREATING NEW SMILES, INC
Active
Organization
CREATING NEW SMILES, INC
Active
Other names
Creating New Smiles, INC
Organization subpart
No
Provider details
NPI number
Authorized official
JIM ERVIL DDS (OWNER)
(804) 615-9682
Entity
Organization
Contact information
Practice address
1682 CHURCH ST, NORFOLK, VA 23504-2346
(757) 683-0143
Mailing address
1682 CHURCH ST, NORFOLK, VA 23504-2346
Taxonomy
Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
—
NULL
1223D0004X
Dental Anesthesiology
—
—
1223E0200X
Endodontics
—
NULL
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0221X
Pediatric Dentistry
—
NULL
1223P0221X
Pediatric Dentistry
—
—
1223X0008X
Oral and Maxillofacial Radiology Dentistry
—
NULL
1223X0008X
Oral and Maxillofacial Radiology Dentistry
—
—
Other
Enumeration date
08/13/2025
Last updated
10/28/2025
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