Organization
DR DON M CHANEY DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DON M CHANEY DDS (DENTIST/OWNER)
(479) 442-3144
Entity
Organization
Contact information
Practice address
2801 MAIN DR, FAYETTEVILLE, AR 72704-5264
(479) 442-3144
(479) 442-3757
Mailing address
2801 MAIN DR, FAYETTEVILLE, AR 72704-5264
(479) 442-3144
(479) 442-3757
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3356
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1416770
UNITED CONCORDIA
AR
05
—
177184631
—
AR
01
—
5X467
AR BCBS
AR
Enumeration date
11/09/2009
Last updated
01/19/2010
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