Provider Demographics
NPI:1679573075
Name:LEFCOE, WEINSTEIN, SACHS, SCHIFF & ASSOCIATES
Entity type:Organization
Organization Name:LEFCOE, WEINSTEIN, SACHS, SCHIFF & ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:IVAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHIFF
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:757-962-6769
Mailing Address - Street 1:1230 PROGRESSIVE DR
Mailing Address - Street 2:SUITE 103
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-0203
Mailing Address - Country:US
Mailing Address - Phone:757-962-6769
Mailing Address - Fax:757-410-2658
Practice Address - Street 1:1230 PROGRESSIVE DR
Practice Address - Street 2:SUITE 103
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-0203
Practice Address - Country:US
Practice Address - Phone:757-962-6769
Practice Address - Fax:757-410-2658
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA004356/L022571223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty