Individual
DR. JAMES P MCDONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
713 PIERCE RD, CLIFTON PARK, NY 12065
(518) 373-1181
(518) 798-0616
Mailing address
713 PIERCE RD, CLIFTON PARK, NY 12065
(518) 373-1181
(518) 798-0616
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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