Skip to content

Distinctive Dental Services

NPI 1710283767ActiveOrganization· Dentist, General Practice· Lake Jackson, TX

Dentist, General Practice in Lake Jackson, Texas, registered in NPPES in February 2011. The authorized official on file is Karron Chambliss, Manager.

Overview

NPI1710283767
StatusActive
Entity typeOrganization
NPI issuedFeb 8, 2011
Last updated in NPPESFeb 8, 2011

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001X11238TX

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other general dentists in Lake Jackson

All 36 general dentists in Lake Jackson · All general dentists in Texas