Provider Demographics
NPI:1144561945
Name:DEVANNEY, JAMES F (DMD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:F
Last Name:DEVANNEY
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:362 MAIN AVE
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-3420
Mailing Address - Country:US
Mailing Address - Phone:401-737-4184
Mailing Address - Fax:401-732-3107
Practice Address - Street 1:362 MAIN AVE
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-3420
Practice Address - Country:US
Practice Address - Phone:401-737-4184
Practice Address - Fax:401-732-3107
Is Sole Proprietor?:No
Enumeration Date:2013-03-05
Last Update Date:2013-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI24131223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice