Basic Information
| Provider Information | |||||||||
| NPI: | 1679573075 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | LEFCOE, WEINSTEIN, SACHS, SCHIFF & ASSOCIATES | ||||||||
| LastName: | |||||||||
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| Mailing Information | |||||||||
| Address1: | 1230 PROGRESSIVE DR | ||||||||
| Address2: | SUITE 103 | ||||||||
| City: | CHESAPEAKE | ||||||||
| State: | VA | ||||||||
| PostalCode: | 233200203 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7579626769 | ||||||||
| FaxNumber: | 7574102658 | ||||||||
| Practice Location | |||||||||
| Address1: | 1230 PROGRESSIVE DR | ||||||||
| Address2: | SUITE 103 | ||||||||
| City: | CHESAPEAKE | ||||||||
| State: | VA | ||||||||
| PostalCode: | 233200203 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7579626769 | ||||||||
| FaxNumber: | 7574102658 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/28/2005 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | SCHIFF | ||||||||
| AuthorizedOfficialFirstName: | IVAN | ||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 7579626769 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | D.D.S. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1223G0001X | 004356/L02257 | VA | Y | 193400000X MULTIPLE SINGLE SPECIALTY GROUP | Dental Providers | Dentist | General Practice |
No ID Information.