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Individual

CHANDLER HARNAGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
5218 GOODMAN RD STE 109, OLIVE BRANCH, MS 38654-7985
(662) 667-8813
Mailing address
8403 TAPESTRY CIR UNIT 303, LOUISVILLE, KY 40222-8310
(270) 282-3193

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
112623
MS
1223G0001X
General Practice Dentistry
Primary
11329
KY

Other

Enumeration date
05/20/2025
Last updated
05/25/2026
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