Provider Demographics
NPI:1891910410
Name:E.L. CHAMBERS P.A.
Entity Type:Organization
Organization Name:E.L. CHAMBERS P.A.
Other - Org Name:CHAMBERS FAMILY DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EARL
Authorized Official - Middle Name:LEROY
Authorized Official - Last Name:CHAMBERS
Authorized Official - Suffix:III
Authorized Official - Credentials:DDS
Authorized Official - Phone:410-224-2660
Mailing Address - Street 1:621 RIDGELY AVE
Mailing Address - Street 2:SUITE 206
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-1081
Mailing Address - Country:US
Mailing Address - Phone:410-224-2660
Mailing Address - Fax:410-224-8564
Practice Address - Street 1:621 RIDGELY AVE
Practice Address - Street 2:SUITE 206
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-1081
Practice Address - Country:US
Practice Address - Phone:410-224-2660
Practice Address - Fax:410-224-8564
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD110031223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty