Individual provider · NPI-1

Courtney Grace Chapman, DMD

Dentist, General Practice · O Fallon, MO

NPI number1679303085
StatusActive
Last updated in NPPESAug 2, 2024

Details

NPI
1679303085
Entity type
Individual (NPI-1)
Name
Courtney Grace Chapman
Credential
DMD
Sex
Female
Sole proprietor
No
Enumeration date
Aug 2, 2024
Certification date
Aug 2, 2024
Last updated
Aug 2, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice2024028463MOYes

Practice location

2726 Highway K
O Fallon, MO 63368-7884

Phone 217-971-9686

Mailing address

2726 Highway K
O Fallon, MO 63368-7884

Phone 217-971-9686

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