| Darryl A. Chapman, Sr. Dmd | |
|
706 E 16th Ave Cordele GA 31015-1512 | |
| (229) 273-7800 | |
| (229) 273-2002 |
| Full Name | Darryl A. Chapman, Sr. Dmd |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 706 E 16th Ave, Cordele, Georgia |
| Authorized Official Name and Position | Darryl Chapman (DENTIST) |
| Authorized Official Contact | 2292737800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Darryl A. Chapman, Sr. Dmd 706 E 16th Ave Cordele GA 31015-1512 Ph: (229) 273-7800 | Darryl A. Chapman, Sr. Dmd 706 E 16th Ave Cordele GA 31015-1512 Ph: (229) 273-7800 |
| NPI Number | 1316445737 |
|---|---|
| Provider Enumeration Date | 01/31/2018 |
| Last Update Date | 03/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316445737 | NPI | - | NPPES |
| 000287746A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN010011 (Georgia) | Primary |
Georgia Dental Associates Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 604 E 15th Ave, Cordele, GA 31015 Phone: 229-273-5753 |