Healthcare Provider Details

I. General information

NPI: 1356468334
Provider Name (Legal Business Name): FAYE MARIE CHAMBERS DENTIST
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/23/2007
Last Update Date: 04/04/2025
Certification Date: 04/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3345 LOWERY PKWY STE 111
FULTONDALE AL
35068-1696
US

IV. Provider business mailing address

3345 LOWERY PKWY STE 111
FULTONDALE AL
35068-1696
US

V. Phone/Fax

Practice location:
  • Phone: 205-325-3023
  • Fax: 205-307-2786
Mailing address:
  • Phone: 205-325-3023
  • Fax: 205-307-2786

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number4478
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: