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Individual

CHAUNCEY MAURICE MCDONALD

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
800 MARTIN LUTHER KING JR DR, LUMBERTON, NC 28358-6412
(910) 738-4770
(910) 737-6567
Mailing address
800 MARTIN LUTHER KING JR DR, LUMBERTON, NC 28358-6412
(910) 738-4770
(910) 737-6567

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3106
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
141EX
BCBS OF NC
NC
05
8995690
NC
Enumeration date
06/07/2006
Last updated
03/07/2023
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