Mcdonnell, James P

Mcdonnell, James P is an individual health care provider with primary practice located at 88 Broad St , Glens Falls NY 12801-4382. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Mcdonnell, James P can be contacted via phone (518) 798-9966.

Contact Information

Primary practice address
88 Broad St Glens Falls NY 12801-4382
Phone: (518) 798-9966
Fax: (518) 798-0616
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 048803 New York

Profile Details

NPI number 1427039312
LBN Legal business name Mcdonnell, James P
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2005
Last updated Jul 8th, 2007 - about 17 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 1427039312 NPPES
New York Other 00496916007 BLUE SHIELD
New York Other 00496916005 BLUE SHIELD
New York Other 00496916006 BLUE SHIELD
New York Other 10049785 BLUE SHIELD
New York Other 0013456 BLUE SHIELD
New York Other 01391401 BLUE SHIELD
New York MEDICAID 02145742 BLUE SHIELD

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