Individual
RANDALL WAYNE CHAMBERS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6200 28TH ST SE, GRAND RAPIDS, MI 49546-6930
(616) 949-4650
(616) 949-5377
Mailing address
6200 28TH ST SE, GRAND RAPIDS, MI 49546-6930
(616) 949-4650
(616) 949-5377
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901017043
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2901017043
DENTIST LICENSE
MI
01
—
383605922
FEDERAL TAX ID
—
Enumeration date
08/01/2006
Last updated
05/21/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us