Organization
CREATING NEW SMILES ASC, LLC
Active
Other names
Creating New Smiles, ASC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIM ERVIL DDS (OWNER)
(804) 615-9682
Entity
Organization
Contact information
Practice address
1682 CHURCH ST, NORFOLK, VA 23504-2346
(757) 683-0143
(757) 901-0613
Mailing address
4936 LIMESTONE AVE, VIRGINIA BEACH, VA 23462-4430
Taxonomy
Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
—
—
1223P0221X
Pediatric Dentistry
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
207L00000X
Anesthesiology Physician
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/09/2025
Last updated
06/09/2025
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