Provider Demographics
NPI:1093036782
Name:CHAMBERS, CHRISTOPHER BROWN (DDS)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:BROWN
Last Name:CHAMBERS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 9475
Mailing Address - Street 2:ROBERT C BYRD HEALTH SCIENCES CENTER
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26506-9475
Mailing Address - Country:US
Mailing Address - Phone:304-293-2841
Mailing Address - Fax:304-293-3674
Practice Address - Street 1:971 VALLEY VIEW AVE
Practice Address - Street 2:APT 403
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26505-3654
Practice Address - Country:US
Practice Address - Phone:304-531-4448
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-16
Last Update Date:2011-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV3909122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist