Provider Demographics
NPI:1548424872
Name:CHAPMAN, ANDRIA (DDS)
Entity Type:Individual
Prefix:DR
First Name:ANDRIA
Middle Name:
Last Name:CHAPMAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12420 WARWICK BLVD
Mailing Address - Street 2:SUITE1A
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23606-3001
Mailing Address - Country:US
Mailing Address - Phone:757-595-6224
Mailing Address - Fax:757-595-2666
Practice Address - Street 1:12420 WARWICK BLVD
Practice Address - Street 2:SUITE1A
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23606-3001
Practice Address - Country:US
Practice Address - Phone:757-595-6224
Practice Address - Fax:757-595-2666
Is Sole Proprietor?:No
Enumeration Date:2008-07-16
Last Update Date:2008-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401008833122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist