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Organization

JAMES R DONLEY DDS PLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAMES RUSSELL DONLEY DDS (MANAGER/DENTIST)
(231) 744-6661
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9163
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1528012697
NPI TYPE 1
01
1841599230
NPI TYPE II
01
9163
DENTAL LICENSE
MI
Enumeration date
03/24/2011
Last updated
08/19/2015
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