Organization
MCDONNELL AND MCMAHON PEDIATRIC DENTISTRY PLLC
Active
Other names
The Smile Lodge
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES P MCDONNELL DMD (MEMBER)
(518) 373-1181
Entity
Organization
Contact information
Practice address
713 PIERCE RD, CLIFTON PARK, NY 12065-1302
(518) 373-1181
(518) 373-0130
Mailing address
713 PIERCE RD, CLIFTON PARK, NY 12065-1302
(518) 373-1181
(518) 373-0130
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
053734
NY
1223P0221X
Pediatric Dentistry
054477
NY
1223P0221X
Pediatric Dentistry
054764
NY
1223P0221X
Pediatric Dentistry
056708
NY
1223P0221X
Pediatric Dentistry
057555
NY
1223P0221X
Pediatric Dentistry
057644
NY
1223P0221X
Pediatric Dentistry
Primary
48803
NY
Other
Enumeration date
12/30/2014
Last updated
01/02/2015
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