Provider Demographics
NPI:1508874678
Name:DUPLANTIS, CHAD CHRISTOPHER (DDS)
Entity Type:Individual
Prefix:DR
First Name:CHAD
Middle Name:CHRISTOPHER
Last Name:DUPLANTIS
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 1:6400 SPOONWOOD LN
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76137-2063
Mailing Address - Country:US
Mailing Address - Phone:817-306-7474
Mailing Address - Fax:817-306-0942
Practice Address - Street 1:6400 SPOONWOOD LN
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76137-2063
Practice Address - Country:US
Practice Address - Phone:817-306-7474
Practice Address - Fax:817-306-0942
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19789122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered122300000XDental ProvidersDentist
Not Answered1223G0001XDental ProvidersDentistGeneral Practice