# LAURA L. CHAMBERLAIN, DDS, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316030471
- **Authorized official:** LAURA LEA CHAMBERLAIN DDS (DENTIST/OWNER)
- **Authorized official phone:** (919) 489-5600

## Contact information

- **Practice address:** 3608 SHANNON RD, SUITE 205, DURHAM, NC 27707-6344
- **Practice address phone:** (919) 489-5600
- **Practice address fax:** (919) 489-2555
- **Mailing address:** 3608 SHANNON RD, SUITE 205, DURHAM, NC 27707-6344
- **Mailing address phone:** (919) 489-5600
- **Mailing address fax:** (919) 489-2555

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 5546 | NC | Yes |

## Other

- **Enumeration date:** 10/02/2006
- **Last updated:** 11/26/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 91481 | BLUE CROSS BLUE SHIELD ID | — |
| 01 | — | 974731 | UNITED CONCORDIA ID\# | — |