Provider Demographics
NPI:1780316224
Name:CHAMBERLAIN, JOSHUA (DDS)
Entity type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:
Last Name:CHAMBERLAIN
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 1:537 WESTBURY DR
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52245-2729
Mailing Address - Country:US
Mailing Address - Phone:319-338-9219
Mailing Address - Fax:
Practice Address - Street 1:537 WESTBURY DR
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52245-2729
Practice Address - Country:US
Practice Address - Phone:319-338-9219
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-24
Last Update Date:2022-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IADDS-10017122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist