Individual
DR. JERRY DEAN CHAMBERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
423 NORTH WASHINGTON AVE, IOLA, KS 66749
(620) 365-3991
(620) 365-3999
Mailing address
423 NORTH WASHINGTON AVE, IOLA, KS 66749
(620) 365-3991
(620) 365-3999
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6384
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22818
BLUE CROSS BLUE SHIELD
KS
Enumeration date
09/07/2006
Last updated
07/08/2007
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