Provider Demographics
NPI:1497861918
Name:FEENEY, MARY J (DMD)
Entity Type:Individual
Prefix:DR
First Name:MARY
Middle Name:J
Last Name:FEENEY
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 1:56 DRIFTWAY RD SUITE 203
Mailing Address - Street 2:PO BOX 580
Mailing Address - City:SCITUATE
Mailing Address - State:MA
Mailing Address - Zip Code:02066
Mailing Address - Country:US
Mailing Address - Phone:781-545-9244
Mailing Address - Fax:781-544-0275
Practice Address - Street 1:56 DRIFTWAY RD
Practice Address - Street 2:SUITE 203
Practice Address - City:SCITUATE
Practice Address - State:MA
Practice Address - Zip Code:02066
Practice Address - Country:US
Practice Address - Phone:781-545-9244
Practice Address - Fax:781-544-0275
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2018-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA190771223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice