Provider Demographics
NPI:1154540656
Name:CHALMERS, PETER ANTHONY (DDS)
Entity type:Individual
Prefix:DR
First Name:PETER
Middle Name:ANTHONY
Last Name:CHALMERS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4008 HAPPY VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CA
Mailing Address - Zip Code:94549-2409
Mailing Address - Country:US
Mailing Address - Phone:925-283-9899
Mailing Address - Fax:
Practice Address - Street 1:6431 FAIRMOUNT AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:EL CERRITO
Practice Address - State:CA
Practice Address - Zip Code:94530-3655
Practice Address - Country:US
Practice Address - Phone:510-524-0600
Practice Address - Fax:510-524-3972
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA297781223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics