MEDICARE: DR. WILLIAM ROBERT CHAPMAN III D.D.S

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	DS 3224 TN	TN

General Provider Information

NPI Number	:	1427194034
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM ROBERT CHAPMAN III D.D.S

Provider Business Mailing Address
First Line	:	2319 VOLUNTEER PKWY
Second Line	:
City	:	BRISTOL
State	:	TN
Zip	:	37620-6701
Country	:	US
Telephone Number	:	423-968-4124
Fax Number	:	423-968-5720

Provider Business Practice Location Address
First Line	:	2319 VOLUNTEER PKWY
Second Line	:
City	:	BRISTOL
State	:	TN
Zip	:	37620-6701
Country	:	US
Telephone Number	:	423-968-4124
Fax Number	:	423-968-5720

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/30/2007
Last Update Date	:	07/08/2007

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