| Keith D. Chambers, D.m.d.,p.s.c. | |
|
401 Bogle St Suite 204 Somerset KY 42503-2850 | |
| (606) 451-0888 | |
| (606) 451-0889 |
| Full Name | Keith D. Chambers, D.m.d.,p.s.c. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 401 Bogle St, Somerset, Kentucky |
| Authorized Official Name and Position | Keith Chambers (OWNER/PRESIDENT) |
| Authorized Official Contact | 6064510888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Keith D. Chambers, D.m.d.,p.s.c. 401 Bogle St Suite 204 Somerset KY 42503-2850 Ph: (606) 451-0888 | Keith D. Chambers, D.m.d.,p.s.c. 401 Bogle St Suite 204 Somerset KY 42503-2850 Ph: (606) 451-0888 |
| NPI Number | 1124097365 |
|---|---|
| Provider Enumeration Date | 03/17/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124097365 | NPI | - | NPPES |
| 65937088 | Medicaid | KY | |
| 61900577 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 6660 (Kentucky) | Primary |
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