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Individual
DONALD MAC CHANEY II
Active
Individual
DONALD MAC CHANEY II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3356
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
140016770
UNITED CONCORDIA INSURANC
—
05
—
177016608
—
AR
01
—
5X467
BLUECROSS BLUESHIELD
AR
Enumeration date
08/30/2006
Last updated
12/28/2009
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