Healthcare Provider Details

I. General information

NPI: 1215821194
Provider Name (Legal Business Name): BRETT JOHN CHAPPELL DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2025
Last Update Date: 09/23/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UNITED STATES ARMY HEALTH CLINIC BUILDING 2310
APO AA
09630
US

IV. Provider business mailing address

PSC 427 BOX 2494
APO AE
09630-0025
US

V. Phone/Fax

Practice location:
  • Phone: 314-636-9874
  • Fax:
Mailing address:
  • Phone: 973-856-5138
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number5069129-9926
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: