# DR. C. RANDALL DOAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1598731697
- **Gender:** Man
- **Credential:** DDS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 15013 | OH | — |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | 15013 | OH | Yes |

## Other

- **Enumeration date:** 02/27/2006
- **Last updated:** 02/08/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0472653 | — | OH |
| 01 | — | 43-00059 | UNITED HEALTHCARE | OH |
| 01 | — | 487716 | UNITED CONCORDIA | OH |