Organization
A. BRENT CHUMBLEY, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALVIN BRENT CHUMBLEY DMD MSD (PRESIDENT - OWNER)
(606) 523-2000
Entity
Organization
Contact information
Practice address
727 W CUMBERLAND GAP PKWY, SUITE D, CORBIN, KY 40701-5194
(606) 523-2000
(606) 523-2823
Mailing address
727 W CUMBERLAND GAP PKWY, SUITE D, CORBIN, KY 40701-5194
(606) 523-2000
(606) 523-2823
Taxonomy
Speciality
Code
Description
License number
State
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
02/15/2012
Last updated
02/15/2012
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