Individual
DR. JACQUELINE M CARNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MS
Contact information
Practice address
1470 PANTOPS MOUNTAIN PL, CHARLOTTESVILLE, VA 22911-4662
(494) 817-1817
(434) 817-1819
Mailing address
1470 PANTOPS MOUNTAIN PL, CHARLOTTESVILLE, VA 22911-4662
(494) 817-1817
(434) 817-1819
Taxonomy
Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
0401410463
VA
1223P0221X
Pediatric Dentistry
Primary
0401410463
VA
Other
Enumeration date
06/26/2005
Last updated
07/09/2013
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