Provider Demographics
NPI:1417033598
Name:CHAPMAN, LARRY L (DDS)
Entity Type:Individual
Prefix:DR
First Name:LARRY
Middle Name:L
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 1:333 N SHILOH RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75042-6680
Mailing Address - Country:US
Mailing Address - Phone:972-276-1810
Mailing Address - Fax:972-276-1740
Practice Address - Street 1:333 N SHILOH RD
Practice Address - Street 2:SUITE 101
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75042-6680
Practice Address - Country:US
Practice Address - Phone:972-276-1810
Practice Address - Fax:972-276-1740
Is Sole Proprietor?:No
Enumeration Date:2006-10-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX125491223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice