# JAMES R DONLEY DDS PLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841599230
- **Authorized official:** DR. JAMES RUSSELL DONLEY DDS (MANAGER/DENTIST)
- **Authorized official phone:** (231) 744-6661

## Contact information

- **Practice address:** 166 N CAUSEWAY ST, N MUSKEGON, MI 49445-3302
- **Practice address phone:** (231) 744-6661
- **Practice address fax:** (231) 744-2837
- **Mailing address:** 166 N CAUSEWAY ST, N MUSKEGON, MI 49445-3302
- **Mailing address phone:** (231) 744-6661
- **Mailing address fax:** (231) 744-2837

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 9163 | MI | Yes |

## Other

- **Enumeration date:** 03/24/2011
- **Last updated:** 08/19/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1528012697 | NPI TYPE 1 | — |
| 01 | — | 1841599230 | NPI TYPE II | — |
| 01 | — | 9163 | DENTAL LICENSE | MI |