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Chuck Chambers Dmd

Dentist in Watkinsville, GA. Organization (NPI-2).

NPI number1740200344
StatusActive
Last updated in NPPESMay 9, 2012

Details

NPI
1740200344
Entity type
Organization (NPI-2)
Legal business name
Chuck Chambers Dmd
Organization subpart
No
Enumeration date
Jul 20, 2006
Last updated
May 9, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist12005GAYes

Other names

  • Mobley And Chambers Dental, LLC (Former Legal Business Name)

Practice location

2105 Elder Mill Rd
Watkinsville, GA 30677-3356

Phone 706-338-8962

Mailing address

2105 Elder Mill Rd
Watkinsville, GA 30677-3356

Phone 706-338-8962

Authorized official

Charles M Chambers
Owner
7063388962

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