NPI 1003236134

Eugene Chickinell, DDS

Practitioner Dentist Brookings, OR

Practice location

Address: 548 Pacific Ave, Brookings, OR 97415-8982
Phone: (541) 469-4995
Fax: (541) 469-4408
Mailing address: PO Box 8160, Brookings, OR 97415-0381

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence D4605 (OR)

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Registry record

NPI: 1003236134
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Apr 2014
Record last updated: 16 Apr 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.