Provider Demographics
NPI:1386222784
Name:EISENHAUR, CHLOE ELIZABETH (DMD)
Entity Type:Individual
Prefix:DR
First Name:CHLOE
Middle Name:ELIZABETH
Last Name:EISENHAUR
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 LEE HWY
Mailing Address - Street 2:
Mailing Address - City:VERONA
Mailing Address - State:VA
Mailing Address - Zip Code:24482-2505
Mailing Address - Country:US
Mailing Address - Phone:540-248-2500
Mailing Address - Fax:
Practice Address - Street 1:75 LEE HWY
Practice Address - Street 2:
Practice Address - City:VERONA
Practice Address - State:VA
Practice Address - Zip Code:24482-2505
Practice Address - Country:US
Practice Address - Phone:540-248-2500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-30
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401418289122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist