Provider Demographics
NPI:1780886127
Name:CHAPMAN, BROOKE SCHULZ (DDS)
Entity type:Individual
Prefix:DR
First Name:BROOKE
Middle Name:SCHULZ
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 1:127 S MADISON ST
Mailing Address - Street 2:
Mailing Address - City:TRAVERSE CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49684-2319
Mailing Address - Country:US
Mailing Address - Phone:231-946-3900
Mailing Address - Fax:231-946-7615
Practice Address - Street 1:127 S MADISON ST
Practice Address - Street 2:
Practice Address - City:TRAVERSE CITY
Practice Address - State:MI
Practice Address - Zip Code:49684-2319
Practice Address - Country:US
Practice Address - Phone:231-946-3900
Practice Address - Fax:231-946-7615
Is Sole Proprietor?:No
Enumeration Date:2007-06-05
Last Update Date:2016-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010195641223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice