Healthcare Provider Details

I. General information

NPI: 1457333213
Provider Name (Legal Business Name): JAMES D CHAPMAN DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/17/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

224 OLD MILL RD
WARTBURG TN
37887
US

IV. Provider business mailing address

PO BOX 327 224 OLD MILL RD
WARTBURG TN
37887
US

V. Phone/Fax

Practice location:
  • Phone: 423-346-6670
  • Fax: 423-346-2452
Mailing address:
  • Phone: 423-346-6670
  • Fax: 423-346-2452

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDS2884
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: