Chambliss, Richard Baker
Chambliss, Richard Baker is an sole proprietor health care provider with primary practice located at 3000 Southlake Park Ste. 200, Hoover AL 35244-3293. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Chambliss, Richard Baker can be contacted via phone (205) 453-0314.Contact Information
Primary practice address
3000 Southlake Park Ste. 200
Hoover AL 35244-3293
Phone: (205) 453-0314
Fax: (205) 453-0315
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 5181 | Alabama |
Profile Details
| NPI number | 1770527707 |
|---|---|
| LBN Legal business name | Chambliss, Richard Baker |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 16th, 2006 |
| Last updated | Feb 20th, 2013 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770527707 | NPPES |
| Alabama | MEDICAID | 009955005 |
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