Individual
DONALD MAC CHANEY II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2801 MAIN DRIVE, FAYETTEVILLE, AR 72704
(479) 442-3144
(479) 442-3757
Mailing address
2801 MAIN DRIVE, FAYETTEVILLE, AR 72704
(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
—
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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