| Randall W. Chambers, Dds, Pc | |
|
6143 28th St Se Grand Rapids MI 49546-6941 | |
| (616) 949-4650 | |
| (616) 949-5377 |
| Full Name | Randall W. Chambers, Dds, Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 6143 28th St Se, Grand Rapids, Michigan |
| Authorized Official Name and Position | Randall Wayne Chambers (PRESIDENT) |
| Authorized Official Contact | 6169494650 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Randall W. Chambers, Dds, Pc 6143 28th St Se Grand Rapids MI 49546-6941 Ph: (616) 949-4650 | Randall W. Chambers, Dds, Pc 6143 28th St Se Grand Rapids MI 49546-6941 Ph: (616) 949-4650 |
| NPI Number | 1801060702 |
|---|---|
| Provider Enumeration Date | 04/22/2008 |
| Last Update Date | 04/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801060702 | NPI | - | NPPES |
| 1598772972 | Other | MI | INDIVIDUAL NPI NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 17046 (Michigan) | Primary |
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