Individual
DR. PATRICK ALLAN CHANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
830 W HIGH ST, SUITE 301, LIMA, OH 45801-3971
(419) 227-5155
(419) 227-4370
Mailing address
830 W HIGH ST, SUITE 301, LIMA, OH 45801-3971
(419) 227-5155
(419) 227-4370
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
30017635
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0704689
—
OH
Enumeration date
06/28/2006
Last updated
07/08/2007
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