MEDICARE: DR. BENJAMIN FARRIOR CHAPPELL DDS

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	1223G0001X	General Practice Dentistry	12798	NC

General Provider Information

NPI Number	:	1124751557
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BENJAMIN FARRIOR CHAPPELL DDS

Provider Business Mailing Address
First Line	:	204 NOTTINGHAM LN
Second Line	:
City	:	MOREHEAD CITY
State	:	NC
Zip	:	28557-8979
Country	:	US
Telephone Number	:	252-531-9706
Fax Number	:

Provider Business Practice Location Address
First Line	:	1619 LIVE OAK ST
Second Line	:
City	:	BEAUFORT
State	:	NC
Zip	:	28516-1520
Country	:	US
Telephone Number	:	252-254-2738
Fax Number	:

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

Provider Enumeration Date	:	07/04/2022
Last Update Date	:	07/04/2022

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