Creating New Smiles Asc, Llc

Specialty details in registry · Norfolk, VA

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At a glance

1682 Church St, Norfolk, VA 23504-2346

NPPES record updated Jun 9, 2025. Public records can lag behind changes at a practice.

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Practice location

1682 Church St
Norfolk, VA 23504-2346

Professional details: NPI, taxonomy & registry record

NPI1124913561

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 261QD0000X
Enumeration date: Jun 9, 2025
Record updated: Jun 9, 2025

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

1223D0004X

Specialty details in registry

1223P0221X

Specialty details in registry

1223S0112X

Anesthesiology

207L00000X

Specialty details in registry

261QD0000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

1682 Church St
Norfolk, VA 23504-2346

Phone: (757) 683-0143
Fax: (757) 901-0613

Mailing address

4936 LIMESTONE AVE

VIRGINIA BEACH, VA 234624430

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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