Provider Demographics
NPI:1841347556
Name:JAMES F DEVANNEY D.M.D.
Entity type:Organization
Organization Name:JAMES F DEVANNEY D.M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:F
Authorized Official - Last Name:DEVANNEY
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:401-737-4184
Mailing Address - Street 1:362 MAIN AVE
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-3420
Mailing Address - Country:US
Mailing Address - Phone:401-737-4184
Mailing Address - Fax:
Practice Address - Street 1:362 MAIN AVE
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-3420
Practice Address - Country:US
Practice Address - Phone:401-737-4184
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI024131223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty