Most Relevant Information
Provider Data
| NPI Number: | 1003236134 |
| Provider Name: | EUGENE CHICKINELL DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | D4605 |
Most Important Dates
| Enumeration Date: | 04/16/2014 |
| Last Updated: | 04/16/2014 |
Provider Practice Location
548 PACIFIC AVE
BROOKINGS
OR
974158982
Practice Location Phone/Fax
| Phone: | 5414694995 |
| Fax: | 5414694408 |
Provider Mailing Location
PO BOX 8160
BROOKINGS
OR
974150381
Provider Mailing Phone/Fax
| Phone: | 5414694995 |
| Fax: | 5414694408 |