Provider Demographics
NPI:1982815627
Name:MCTERNAN, ROY J (DMD)
Entity Type:Individual
Prefix:DR
First Name:ROY
Middle Name:J
Last Name:MCTERNAN
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 1:238 WATER FOREST DR
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:PA
Mailing Address - Zip Code:18337-7575
Mailing Address - Country:US
Mailing Address - Phone:570-686-5040
Mailing Address - Fax:
Practice Address - Street 1:411 ROUTE 46 EAST
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:NJ
Practice Address - Zip Code:07801
Practice Address - Country:US
Practice Address - Phone:973-361-4200
Practice Address - Fax:973-361-5445
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2016-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22D1015363001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice