Provider Demographics
NPI:1962628826
Name:CHAPMAN, JULIE BURTON (DDS)
Entity Type:Individual
Prefix:DR
First Name:JULIE
Middle Name:BURTON
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 1:1683 DIXIE HWY
Mailing Address - Street 2:
Mailing Address - City:MITCHELL
Mailing Address - State:IN
Mailing Address - Zip Code:47446-5236
Mailing Address - Country:US
Mailing Address - Phone:812-849-4175
Mailing Address - Fax:812-849-0188
Practice Address - Street 1:1683 DIXIE HWY
Practice Address - Street 2:
Practice Address - City:MITCHELL
Practice Address - State:IN
Practice Address - Zip Code:47446-5236
Practice Address - Country:US
Practice Address - Phone:812-849-4175
Practice Address - Fax:812-849-0188
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2016-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12010867A122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist