Provider Demographics
NPI:1528012697
Name:DONLEY, JAMES R (DDS)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:R
Last Name:DONLEY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:166 N CAUSEWAY ST
Mailing Address - Street 2:
Mailing Address - City:N MUSKEGON
Mailing Address - State:MI
Mailing Address - Zip Code:49445-3302
Mailing Address - Country:US
Mailing Address - Phone:231-744-6661
Mailing Address - Fax:231-744-2837
Practice Address - Street 1:166 N CAUSEWAY ST
Practice Address - Street 2:
Practice Address - City:N MUSKEGON
Practice Address - State:MI
Practice Address - Zip Code:49445-3302
Practice Address - Country:US
Practice Address - Phone:231-744-6661
Practice Address - Fax:231-744-2837
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-21
Last Update Date:2011-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI91631223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice