| NPI | 1790661049 |
|---|---|
| Former Legal Business Name | CREATING NEW SMILES, INC |
| Entity Type | Organization |
| Authorized Contact | JIM ERVIL Owner 804-615-9682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223X0008X Dentist, Oral and Maxillofacial Radiology |
| 1223D0004X Dentist, Dentist Anesthesiologist Speciality | |
| 1223P0221X Dentist, Pediatric Dentistry | |
| 1223E0200X Dentist, Endodontics | |
| Enumeration Date | 2025-08-13 |
| Last Update Date | 2025-09-16 |