Provider Demographics
NPI:1306165311
Name:CHALMERS, NATALIA I (DDS, PHD)
Entity type:Individual
Prefix:DR
First Name:NATALIA
Middle Name:I
Last Name:CHALMERS
Suffix:
Gender:F
Credentials:DDS, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 CENTER DR
Mailing Address - Street 2:ROOM 1B25 MSC 1191
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20892-1191
Mailing Address - Country:US
Mailing Address - Phone:301-496-4486
Mailing Address - Fax:
Practice Address - Street 1:10 CENTER DR
Practice Address - Street 2:ROOM 1B25 MSC 1191
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20892-1191
Practice Address - Country:US
Practice Address - Phone:301-496-4489
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-01
Last Update Date:2013-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014137651223P0221X
MD0401413765284300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
No284300000XHospitalsSpecial Hospital