Provider Demographics
NPI:1518220854
Name:CHANDLER, KARL M (DMD)
Entity Type:Individual
Prefix:
First Name:KARL
Middle Name:M
Last Name:CHANDLER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7500 CAMBRIDGE ST
Mailing Address - Street 2:SUITE 6510
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-2008
Mailing Address - Country:US
Mailing Address - Phone:713-486-4125
Mailing Address - Fax:713-486-4333
Practice Address - Street 1:7500 CAMBRIDGE ST
Practice Address - Street 2:SUITE 6510
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-2008
Practice Address - Country:US
Practice Address - Phone:713-486-4052
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-21
Last Update Date:2014-08-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY92011223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery