Provider Demographics
NPI:1679682231
Name:MCNERNEY, JAMES P (DDS)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:P
Last Name:MCNERNEY
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 1:317 S MIDDLETOWN RD
Mailing Address - Street 2:
Mailing Address - City:NANUET
Mailing Address - State:NY
Mailing Address - Zip Code:10954-3332
Mailing Address - Country:US
Mailing Address - Phone:845-624-2303
Mailing Address - Fax:845-623-5311
Practice Address - Street 1:317 S MIDDLETOWN RD
Practice Address - Street 2:
Practice Address - City:NANUET
Practice Address - State:NY
Practice Address - Zip Code:10954-3332
Practice Address - Country:US
Practice Address - Phone:845-624-2303
Practice Address - Fax:845-623-5311
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0416871223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice