Provider Demographics
NPI:1821372616
Name:CHAMBERS, DOYLE (DMD)
Entity Type:Individual
Prefix:
First Name:DOYLE
Middle Name:
Last Name:CHAMBERS
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 1:3211 PROVIDENCE DR
Mailing Address - Street 2:AHS BUILDING, ROOM 160
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508-4614
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3211 PROVIDENCE DR
Practice Address - Street 2:AHS BUILDING, ROOM 160
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-4614
Practice Address - Country:US
Practice Address - Phone:907-786-6929
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-28
Last Update Date:2011-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK7561223G0001X
AL37491223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice