Provider Demographics
NPI:1205214863
Name:DEBRA A. CHINONIS DDS, P.C.
Entity Type:Organization
Organization Name:DEBRA A. CHINONIS DDS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DDS
Authorized Official - Prefix:
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:A
Authorized Official - Last Name:CHINONIS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:810-695-5226
Mailing Address - Street 1:G-6111 S. SAGINAW ST
Mailing Address - Street 2:
Mailing Address - City:GRAND BLANC
Mailing Address - State:MI
Mailing Address - Zip Code:48439
Mailing Address - Country:US
Mailing Address - Phone:810-695-5226
Mailing Address - Fax:810-695-1484
Practice Address - Street 1:G-6111 S. SAGINAW ST.
Practice Address - Street 2:
Practice Address - City:GRAND BLANC
Practice Address - State:MI
Practice Address - Zip Code:48439
Practice Address - Country:US
Practice Address - Phone:810-695-5226
Practice Address - Fax:810-695-1484
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DEBRA A. CHINONIS DDS PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-05-14
Last Update Date:2015-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty