Provider Demographics
NPI:1790986446
Name:DELANEY, JAYNE ELIZABETH (DDS)
Entity Type:Individual
Prefix:DR
First Name:JAYNE
Middle Name:ELIZABETH
Last Name:DELANEY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:50 S PICKETT ST
Mailing Address - Street 2:SUITE 120
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22304-7207
Mailing Address - Country:US
Mailing Address - Phone:703-370-5437
Mailing Address - Fax:703-370-5473
Practice Address - Street 1:50 S PICKETT ST
Practice Address - Street 2:SUITE 120
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22304-7207
Practice Address - Country:US
Practice Address - Phone:703-370-5437
Practice Address - Fax:703-370-5473
Is Sole Proprietor?:No
Enumeration Date:2007-05-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04010084801223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry