Provider Demographics
NPI:1407614712
Name:CHAPIN DENSMORE DDS PLLC
Entity Type:Organization
Organization Name:CHAPIN DENSMORE DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHAPIN
Authorized Official - Middle Name:
Authorized Official - Last Name:DENSMORE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:253-219-3540
Mailing Address - Street 1:5118 218TH AVE E
Mailing Address - Street 2:
Mailing Address - City:LAKE TAPPS
Mailing Address - State:WA
Mailing Address - Zip Code:98391-8715
Mailing Address - Country:US
Mailing Address - Phone:253-219-3540
Mailing Address - Fax:
Practice Address - Street 1:1901 S WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98405-1015
Practice Address - Country:US
Practice Address - Phone:253-756-0600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-11
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental