Provider Demographics
NPI:1083914642
Name:MCINERNEY, MARGARET G (DMD)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:G
Last Name:MCINERNEY
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7276 RICKS DR
Mailing Address - Street 2:
Mailing Address - City:VALLEY SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:95252-9654
Mailing Address - Country:US
Mailing Address - Phone:209-256-2743
Mailing Address - Fax:
Practice Address - Street 1:7276 RICKS DR
Practice Address - Street 2:
Practice Address - City:VALLEY SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:95252-9654
Practice Address - Country:US
Practice Address - Phone:209-256-2743
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-29
Last Update Date:2010-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA598341223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice