Provider Demographics
NPI:1114090560
Name:CHAPMAN, JAMES C (DMD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:C
Last Name:CHAPMAN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12220 BIRMINGHAM HWY BLDG 50
Mailing Address - Street 2:
Mailing Address - City:MILTON
Mailing Address - State:GA
Mailing Address - Zip Code:30004-4184
Mailing Address - Country:US
Mailing Address - Phone:770-664-6008
Mailing Address - Fax:770-664-6998
Practice Address - Street 1:12220 BIRMINGHAM HWY BLDG 50
Practice Address - Street 2:
Practice Address - City:MILTON
Practice Address - State:GA
Practice Address - Zip Code:30004-4184
Practice Address - Country:US
Practice Address - Phone:770-664-6008
Practice Address - Fax:770-664-6998
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2021-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0124601223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics