Organization
DRS CHAPMAN & CONNELLY DDS SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY F CHAPMAN DDS (PRESIDENT)
(608) 365-4006
Entity
Organization
Contact information
Practice address
2101 RIVERSIDE DRIVE, BELOIT, WI 53511-2932
(608) 365-4006
(608) 365-4870
Mailing address
2101 RIVERSIDE DRIVE, BELOIT, WI 53511-2932
(608) 365-4006
(608) 365-4870
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
5002032015
WI
122300000X
Dentist
Primary
5002049015
WI
Other
Enumeration date
09/07/2006
Last updated
08/22/2020
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