Provider Demographics
NPI:1730354135
Name:JAMES A. CERNEY,DDS,PC
Entity type:Organization
Organization Name:JAMES A. CERNEY,DDS,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:A
Authorized Official - Last Name:CERNEY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:907-479-3326
Mailing Address - Street 1:4001 GEIST RD
Mailing Address - Street 2:SUITE 5B
Mailing Address - City:FAIRBANKS
Mailing Address - State:AK
Mailing Address - Zip Code:99709-3552
Mailing Address - Country:US
Mailing Address - Phone:907-479-3326
Mailing Address - Fax:
Practice Address - Street 1:4001 GEIST RD
Practice Address - Street 2:SUITE 5B
Practice Address - City:FAIRBANKS
Practice Address - State:AK
Practice Address - Zip Code:99709-3552
Practice Address - Country:US
Practice Address - Phone:907-479-3326
Practice Address - Fax:907-479-6410
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-25
Last Update Date:2008-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty