Provider Demographics
NPI:1891706156
Name:CHAMBERS, STANLEY DON (DDS)
Entity Type:Individual
Prefix:
First Name:STANLEY
Middle Name:DON
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 1:929 W PIONEER PKWY
Mailing Address - Street 2:SUITE E
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75051-4734
Mailing Address - Country:US
Mailing Address - Phone:972-641-4888
Mailing Address - Fax:972-641-5412
Practice Address - Street 1:929 W PIONEER PKWY
Practice Address - Street 2:SUITE E
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75051-4734
Practice Address - Country:US
Practice Address - Phone:972-641-4888
Practice Address - Fax:972-641-5412
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX117911223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice