| Theodore K Chamberlain DMD PA | |
|
555 S Hercules Ave Ste 403 Clearwater FL 33764-6347 | |
| (727) 441-6060 | |
| (727) 614-9904 |
| Full Name | Theodore K Chamberlain DMD PA |
|---|---|
| Speciality | Dentist |
| Location | 555 S Hercules Ave Ste 403, Clearwater, Florida |
| Authorized Official Name and Position | Theodore K Chamberlain (OWNER) |
| Authorized Official Contact | 7274416060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Theodore K Chamberlain DMD PA 555 S Hercules Ave Ste 403 Clearwater FL 33764-6347 Ph: (727) 441-6060 | Theodore K Chamberlain DMD PA 555 S Hercules Ave Ste 403 Clearwater FL 33764-6347 Ph: (727) 441-6060 |
| NPI Number | 1043893175 |
|---|---|
| Provider Enumeration Date | 05/05/2021 |
| Last Update Date | 05/05/2021 |
| Certification Date | 05/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043893175 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (NU) | Primary |
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