Individual
TIMOTHY D CHAPEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
300 W WASHINGTON AVE, SUITE 430, JACKSON, MI 49201-2180
(517) 787-9845
(517) 787-1914
Mailing address
300 W WASHINGTON AVE, SUITE 430, JACKSON, MI 49201-2180
(517) 787-9845
(517) 787-1914
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14060
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14060
LICENSE NUMBER
MI
Enumeration date
09/28/2006
Last updated
07/08/2007
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