MEDICARE: DUNCAN ALEXANDER CHAPPLE DMD, MBS

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	122300000X	Dentist	107726	CA
2	122300000X	Dentist	22DI02960300	NJ
3	122300000X	Dentist	13773570-9926	UT

General Provider Information

NPI Number	:	1427785989
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DUNCAN ALEXANDER CHAPPLE DMD, MBS

Provider Business Mailing Address
First Line	:	4040 W DAYBREAK PKWY STE 120
Second Line	:
City	:	SOUTH JORDAN
State	:	UT
Zip	:	84009-1287
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4040 W DAYBREAK PKWY
Second Line	:
City	:	SOUTH JORDAN
State	:	UT
Zip	:	84009-1286
Country	:	US
Telephone Number	:	385-279-4334
Fax Number	:

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

Provider Enumeration Date	:	08/04/2022
Last Update Date	:	01/14/2025

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