Provider Demographics
NPI:1194931782
Name:CHAPMAN, KEVIN (DMD, MS)
Entity type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:
Last Name:CHAPMAN
Suffix:
Gender:M
Credentials:DMD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8852 W 38TH AVE
Mailing Address - Street 2:
Mailing Address - City:WHEAT RIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80033-4202
Mailing Address - Country:US
Mailing Address - Phone:303-421-9814
Mailing Address - Fax:303-421-3544
Practice Address - Street 1:8852 W 38TH AVE
Practice Address - Street 2:
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80033-4202
Practice Address - Country:US
Practice Address - Phone:303-421-9814
Practice Address - Fax:303-421-3544
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO64511223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics