# CREATING NEW SMILES, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Creating New Smiles, INC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790661049
- **Authorized official:** JIM ERVIL DDS (OWNER)
- **Authorized official phone:** (804) 615-9682

## Contact information

- **Practice address:** 1682 CHURCH ST, NORFOLK, VA 23504-2346
- **Practice address phone:** (757) 683-0143
- **Mailing address:** 1682 CHURCH ST, NORFOLK, VA 23504-2346

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223D0004X | Dental Anesthesiology | — | NULL | — |
| 1223D0004X | Dental Anesthesiology | — | — | — |
| 1223E0200X | Endodontics | — | NULL | — |
| 1223E0200X | Endodontics | — | — | — |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |
| 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