Provider Demographics
NPI:1912010224
Name:DELANEY, DAVID MARTIN (DMD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:MARTIN
Last Name:DELANEY
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 EVERETT RD EXT
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12205-3357
Mailing Address - Country:US
Mailing Address - Phone:518-438-2722
Mailing Address - Fax:518-438-2723
Practice Address - Street 1:21 EVERETT RD EXT
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12205-3357
Practice Address - Country:US
Practice Address - Phone:518-438-2722
Practice Address - Fax:518-438-2723
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2015-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY030941122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist