Provider Demographics
NPI:1669580726
Name:EPPERSON, CHESTER NEAL (DDS)
Entity type:Individual
Prefix:DR
First Name:CHESTER
Middle Name:NEAL
Last Name:EPPERSON
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 1:6833 COIT RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-5400
Mailing Address - Country:US
Mailing Address - Phone:972-618-6180
Mailing Address - Fax:972-618-9478
Practice Address - Street 1:6833 COIT RD
Practice Address - Street 2:SUITE 101
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-5400
Practice Address - Country:US
Practice Address - Phone:972-618-6180
Practice Address - Fax:972-618-9478
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX145001223G0001X
LA40701223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice