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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