Provider Demographics
NPI:1427785989
Name:CHAPPLE, DUNCAN ALEXANDER (DMD, MBS)
Entity type:Individual
Prefix:
First Name:DUNCAN
Middle Name:ALEXANDER
Last Name:CHAPPLE
Suffix:
Gender:M
Credentials:DMD, MBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4040 W DAYBREAK PKWY STE 120
Mailing Address - Street 2:
Mailing Address - City:SOUTH JORDAN
Mailing Address - State:UT
Mailing Address - Zip Code:84009-1287
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4040 W DAYBREAK PKWY
Practice Address - Street 2:
Practice Address - City:SOUTH JORDAN
Practice Address - State:UT
Practice Address - Zip Code:84009-1286
Practice Address - Country:US
Practice Address - Phone:385-279-4334
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-04
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA107726122300000X
NJ22DI02960300122300000X
UT13773570-9926122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentist