Provider Demographics
NPI:1518050087
Name:WEBBER, ROBERT CHAPMAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:CHAPMAN
Last Name:WEBBER
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:PO BOX 678
Mailing Address - Street 2:
Mailing Address - City:KINGSBURG
Mailing Address - State:CA
Mailing Address - Zip Code:93631-0678
Mailing Address - Country:US
Mailing Address - Phone:559-897-3724
Mailing Address - Fax:559-897-5202
Practice Address - Street 1:1621 LEWIS ST
Practice Address - Street 2:
Practice Address - City:KINGSBURG
Practice Address - State:CA
Practice Address - Zip Code:93631-1923
Practice Address - Country:US
Practice Address - Phone:559-897-3724
Practice Address - Fax:559-897-5202
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA31421122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist