Healthcare Provider Details

I. General information

NPI: 1477551299
Provider Name (Legal Business Name): THOMAS J CHAPMAN DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/14/2005
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9090 RIDGELINE BLVD STE 225
HIGHLANDS RANCH CO
80129-2507
US

IV. Provider business mailing address

9090 RIDGELINE BLVD STE 225
HIGHLANDS RANCH CO
80129-2507
US

V. Phone/Fax

Practice location:
  • Phone: 303-683-1144
  • Fax: 303-683-1830
Mailing address:
  • Phone: 303-683-1144
  • Fax: 303-683-1830

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License Number7469
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: