Healthcare Provider Details

I. General information

NPI: 1548288657
Provider Name (Legal Business Name): DAVID COURTNEY CHAPMAN D.D.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/17/2006
Last Update Date: 07/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4508 GROVE AVE
RICHMOND VA
23221-1806
US

IV. Provider business mailing address

4508 GROVE AVE
RICHMOND VA
23221-1806
US

V. Phone/Fax

Practice location:
  • Phone: 804-358-9889
  • Fax: 804-353-5990
Mailing address:
  • Phone: 804-358-9889
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number0401005297
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: