Healthcare Provider Details

I. General information

NPI: 1760347652
Provider Name (Legal Business Name): ANNA CHAMBERLAIN DDS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/22/2025
Last Update Date: 12/22/2025
Certification Date: 12/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 W HILLCREST DR STE 203
THOUSAND OAKS CA
91360-7883
US

IV. Provider business mailing address

225 W HILLCREST DR STE 203
THOUSAND OAKS CA
91360-7883
US

V. Phone/Fax

Practice location:
  • Phone: 805-250-4441
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. ANNA CHAMBERLAIN
Title or Position: OWNER/DENTIST
Credential: DDS, MPH
Phone: 805-250-4441