Darryl Antoinia Chapman Sr.
Individual provider Active NPI General Practice Dentistry · Cordele, GA
NPI 1700932803 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1700932803
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DN010011 (GA)
- Practice address
- 706 E 16TH Ave
Cordele, GA 31015-1512 - Phone
- (229) 273-7800
- Fax
- (229) 273-1001
- NPI assigned
- Jan 25, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN010011 | GA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Darryl a. Chapman, Sr. DMD | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN010011 | GA | Yes |
Addresses
Primary practice location
706 E 16TH Ave
Cordele, GA 31015-1512
Mailing address
706 E 16TH Ave
Cordele, GA 31015-1512
Phone (229) 273-7800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00287746A | Medicaid | GA |
Other providers in Cordele, GA
- Careconnect Health, Inc.
- Careconnect Health, Inc.
- Linda Carter
- Marilyn Y. Carter
- Kameron McKinley Causey
- Deborah J Charles
- Lynn M Chavarria
- Choice Select Home Care
- Keyondra Clark
- Christy Jane Clary
All providers in Cordele, GA · General Practice Dentistry in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.