Provider Demographics
NPI:1124387667
Name:CHAMBERS, CARLESHA JANEE (DDS)
Entity Type:Individual
Prefix:DR
First Name:CARLESHA
Middle Name:JANEE
Last Name:CHAMBERS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9275 DOERR RD STE 1400
Mailing Address - Street 2:HQ, NORTHERN REGIONAL DENTAL COMMAND (ATTN CREDENTIALS)
Mailing Address - City:FORT BELVOIR
Mailing Address - State:VA
Mailing Address - Zip Code:22060-2204
Mailing Address - Country:US
Mailing Address - Phone:571-231-5383
Mailing Address - Fax:
Practice Address - Street 1:9275 DOERR RD STE 1400
Practice Address - Street 2:HQ, NORTHERN REGIONAL DENTAL COMMAND (ATTN CREDENTIALS)
Practice Address - City:FORT BELVOIR
Practice Address - State:VA
Practice Address - Zip Code:22060-2204
Practice Address - Country:US
Practice Address - Phone:571-231-5383
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-03
Last Update Date:2014-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.0234681223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice