MEDICARE: DR. CHAITRA ERAPPA 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	23101	TX

General Provider Information

NPI Number	:	1427267582
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHAITRA ERAPPA DDS

Provider Business Mailing Address
First Line	:	858 SHOREWOOD DR
Second Line	:
City	:	COPPELL
State	:	TX
Zip	:	75019-5602
Country	:	US
Telephone Number	:	972-999-5122
Fax Number	:

Provider Business Practice Location Address
First Line	:	825 W ROYAL LN STE 210
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75039-3901
Country	:	US
Telephone Number	:	214-496-0626
Fax Number	:

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

Provider Enumeration Date	:	05/22/2007
Last Update Date	:	03/28/2023

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