Individual
MADISON CHUMBLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
209 HIGH POINT CT STE 200, MOUNT WASHINGTON, KY 40047-5513
(502) 904-2663
Mailing address
14508 LAKE VILLAGE DR, LOUISVILLE, KY 40299-5893
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D-00095
KY
Other
Enumeration date
12/03/2025
Last updated
12/03/2025
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