Individual
CHADWICK RHETT DENMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10900 RESEARCH BLVD STE 140C, AUSTIN, TX 78759-5774
(512) 645-0818
(512) 645-0646
Mailing address
10900 RESEARCH BLVD, SUITE 160-C #78, AUSTIN, TX 78759-4883
(512) 645-0818
(512) 645-0646
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22794
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
181183801
—
TX
Enumeration date
12/19/2006
Last updated
02/21/2023
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