Individual
DR. RICHARD BAKER CHAMBLISS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
3000 SOUTHLAKE PARK, STE. 200, HOOVER, AL 35244-3293
(205) 453-0314
(205) 453-0315
Mailing address
3000 SOUTHLAKE PARK, STE. 200, HOOVER, AL 35244-3293
(205) 453-0314
(205) 453-0315
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
5181
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009955005
—
AL
Enumeration date
06/16/2006
Last updated
02/20/2013
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