Provider Demographics
NPI:1215641428
Name:CHAMBER FAMILY DENTISTRY LLC
Entity type:Organization
Organization Name:CHAMBER FAMILY DENTISTRY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:PARMENDER
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAMBER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:301-433-5577
Mailing Address - Street 1:8 RUSSELL AVE STE 105
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20877-2962
Mailing Address - Country:US
Mailing Address - Phone:301-216-0592
Mailing Address - Fax:
Practice Address - Street 1:8 RUSSELL AVE STE 105
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20877-2962
Practice Address - Country:US
Practice Address - Phone:301-216-0592
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-11
Last Update Date:2023-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty