Individual
TIMOTHY F CHAPMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2101 RIVERSIDE DR, BELOIT, WI 53511-2932
(608) 365-4006
(608) 365-4870
Mailing address
2101 RIVERSIDE DR, BELOIT, WI 53511-2932
(608) 365-4006
(608) 365-4870
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
5002032
WI
1223G0001X
General Practice Dentistry
Primary
5002032
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33368700
—
WI
Enumeration date
04/10/2008
Last updated
04/10/2008
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