Randall W. Chambers, Dds, Pc in Grand Rapids - Dental

Randall W. Chambers, Dds, Pc - NPI 1801060702

Randall W. Chambers, Dds, Pc is a Dental in Grand Rapids, Michigan. Randall W. Chambers, Dds, Pc practices all healthcare services and medical treatments related to Dental. The NPI Number for Randall W. Chambers, Dds, Pc is 1801060702. The last update date is 2008-04-22.

Randall W. Chambers, Dds, Pc's current location address is 6143 28th St Se, Grand Rapids, Michigan. You can contact this provider via phone number 6169494650 and fax number 6169495377. The mailing address for Randall W. Chambers, Dds, Pc is 6143 28th St Se, Grand Rapids, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Organization Randall W. Chambers, Dds, Pc
Address 6143 28th St Se, Grand Rapids, Michigan
Phone Number 6169494650
Fax Number 6169495377
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Chambers Wayne Randall
Credentials DDS
Telephone Number 6169494650

NPI Number Detail

NPI Number 1801060702
Provider Enumeration Date 2008-04-22
Last Updated Date 2008-04-22

Provider Mailing Address Detail

Address 6143 28th St Se
City Grand Rapids
State Michigan (MI)
Post Code 495466941
Phone Number 6169494650
Fax Number 6169495377

Provider's Primary Taxonomy Detail

Speciality Dental
Taxonomy 261Qd0000X
Licence No 17046
Definition:
Provides general and specialized dental care and oral surgery.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1598772972 MI INDIVIDUAL NPI NUMBER

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FAQs about Randall W. Chambers, Dds, Pc

What is the unique identifier code issued to Randall W. Chambers, Dds, Pc by the Centers for Medicare & Medicaid Services?

The Randall W. Chambers, Dds, Pc has been assigned the NPI (National Provider Identifier) 1801060702. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Randall W. Chambers, Dds, Pc's facilities are situated?

The facilities of Randall W. Chambers, Dds, Pc are physically located at the following address: 6143 28Th St Se, Grand Rapids, MI, 495466941.

What is Randall W. Chambers, Dds, Pc's area of expertise and its corresponding taxonomy classification?

The Randall W. Chambers, Dds, Pc's field of specialization is Dental, and it falls under the taxonomy code 261Qd0000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1801060702 to Randall W. Chambers, Dds, Pc?

The Centers for Medicare & Medicaid Services originally issued the 1801060702 to Randall W. Chambers, Dds, Pc on 2008-04-22.

When was the information pertaining to Randall W. Chambers, Dds, Pc most recently updated or revised?

The details related to Randall W. Chambers, Dds, Pc, including its address, specialty, and other relevant information, were last updated or revised on 2008-04-22.

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