Individual
DR. JAMES P MCDONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
048803
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0013456
DORAL DENTAL
NY
01
—
00496916005
BLUE SHIELD
NY
01
—
00496916006
BLUE SHIELD
NY
01
—
00496916007
BLUE SHIELD
NY
01
—
01391401
UNITED CONCORDIA
NY
05
—
02145742
—
NY
01
—
10049785
CDPHP
NY
Enumeration date
11/08/2005
Last updated
10/13/2025
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