Provider Demographics
NPI:1235358219
Name:DRS. DELANEY, ROOT & ASSOCIATES, PC
Entity Type:Organization
Organization Name:DRS. DELANEY, ROOT & ASSOCIATES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:R
Authorized Official - Last Name:DELANEY
Authorized Official - Suffix:III
Authorized Official - Credentials:DDS
Authorized Official - Phone:248-682-8811
Mailing Address - Street 1:2677 ELIZABETH LAKE RD
Mailing Address - Street 2:
Mailing Address - City:WATERFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48328-3290
Mailing Address - Country:US
Mailing Address - Phone:248-682-8811
Mailing Address - Fax:248-682-2701
Practice Address - Street 1:2677 ELIZABETH LAKE RD
Practice Address - Street 2:
Practice Address - City:WATERFORD
Practice Address - State:MI
Practice Address - Zip Code:48328-3290
Practice Address - Country:US
Practice Address - Phone:248-682-8811
Practice Address - Fax:248-682-2701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Multi-Specialty