# CORY CHAMBERS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cobblestone Park Family Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770026841
- **Authorized official:** CORY CHAMBERS DDS (DENTIST/OWNER)
- **Authorized official phone:** (405) 603-8520

## Contact information

- **Practice address:** 12321 N. COUNCIL RD, OKLAHOMA CITY, OK 73162
- **Practice address phone:** (405) 603-8520
- **Practice address fax:** (405) 603-8560
- **Mailing address:** 12321 N. COUNCIL RD, OKLAHOMA CITY, OK 73162
- **Mailing address phone:** (405) 603-8520
- **Mailing address fax:** (405) 603-8560

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 5941 | OK | Yes |

## Other

- **Enumeration date:** 11/22/2016
- **Last updated:** 11/22/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1063617546 | NPPES | OK |
