James Mickael Blaney, DDS, MSD
Individual provider Active NPI Endodontics · Goodlettsville, TN
NPI 1003889874 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1003889874
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Endodontics 1223E0200X
- License
- DS0000007949 (TN)
- Practice address
- 306 Bluebird Dr
Goodlettsville, TN 37072-2304 - Phone
- (615) 851-9111
- Fax
- (615) 851-1608
- NPI assigned
- Feb 10, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS0000007949 | TN | MD | Endodontist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | DS0000007949 | TN | Yes |
Addresses
Primary practice location
306 Bluebird Dr
Goodlettsville, TN 37072-2304
Mailing address
306 Bluebird Dr
Goodlettsville, TN 37072-2304
Phone (615) 851-9111
Other providers in Goodlettsville, TN
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- Shanell L Black Southall
- Starla Black
- Clarisse Blades
- Monterrica E Blake
- Brian Keith Blankenship
- Bloom and Biome Consulting, Inc
- Steven Michael Blount
- Isabel Rebecca Bogaert
- Dana Noble Bonaminio
All providers in Goodlettsville, TN · Endodontics in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.