Provider Demographics
NPI:1053489856
Name:CHAPMAN, RICHARD J (DDS)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:J
Last Name:CHAPMAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3405 SILVERSTONE DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75023-7840
Mailing Address - Country:US
Mailing Address - Phone:972-867-5090
Mailing Address - Fax:972-398-6788
Practice Address - Street 1:3405 SILVERSTONE DR
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75023-7840
Practice Address - Country:US
Practice Address - Phone:972-867-5090
Practice Address - Fax:972-398-6788
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2008-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX119301223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX11930OtherLICENSE
TXD11930OtherBC FEDERAL PROGRAM
TX76602OtherUNITED CONCORDIA