Provider Demographics
NPI:1437375201
Name:CHAPMAN, ANTHONY KYLE (DMD)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:KYLE
Last Name:CHAPMAN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:DR
Other - First Name:TONY
Other - Middle Name:K
Other - Last Name:CHAPMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DMD
Mailing Address - Street 1:6801 WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:OCEAN SPRINGS
Mailing Address - State:MS
Mailing Address - Zip Code:39564-2118
Mailing Address - Country:US
Mailing Address - Phone:228-875-3258
Mailing Address - Fax:228-818-0402
Practice Address - Street 1:6801 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:OCEAN SPRINGS
Practice Address - State:MS
Practice Address - Zip Code:39564-2118
Practice Address - Country:US
Practice Address - Phone:228-875-3258
Practice Address - Fax:228-818-0402
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS2467-891223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice