Individual
ALVIN BRENT CHUMBLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD MSD
Contact information
Practice address
727 W CUMBERLAND GAP PKWY, SUITE D, CORBIN, KY 40701-4822
(606) 523-2000
(606) 523-2823
Mailing address
727 W CUMBERLAND GAP PKWY, SUITE D, CORBIN, KY 40701-4822
(606) 523-2000
(606) 523-2823
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
4318
KY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
4318
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60043189
—
KY
05
—
9178567
—
VA
Enumeration date
04/27/2006
Last updated
08/30/2011
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