Gene Chickinell DDS PC

NPI #1588751127 in Brookings, Oregon

Provider Information

NPI Number: 1588751127
Entity Type: Organization
Organization Name: Gene Chickinell DDS PC
Primary Specialty: Dentist
Enumeration Date: Oct 6, 2006
Last Updated: Jul 8, 2008

Practice Location

Address: 548 PACIFIC AVENUE
City: Brookings
State: Oregon
ZIP Code: 97415
Phone: (541) 469-4995

Authorized Official

Name: GENE CHICKINELL, DDS
Title: DENTIST
Phone: (541) 469-4995

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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