Chaney, Donald Mac

Chaney, Donald Mac is an individual health care provider with primary practice located at 2801 Main Drive , Fayetteville AR 72704. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Chaney, Donald Mac can be contacted via phone (479) 442-3144.

Contact Information

Primary practice address
2801 Main Drive Fayetteville AR 72704
Fax: (479) 442-3757
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 3356 Arkansas

Profile Details

NPI number 1588773436
LBN Legal business name Chaney, Donald Mac
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Dec 28th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588773436 NPPES
Other 140016770 UNITED CONCORDIA INSURANC
Other 5X467 UNITED CONCORDIA INSURANC
MEDICAID 177016608 UNITED CONCORDIA INSURANC

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