MEDICARE: DR. DELANEY & ASSOCIATES PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223P0221X	Pediatric Dentistry

General Provider Information

NPI Number	:	1235358219
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR. DELANEY & ASSOCIATES PC

Provider Business Mailing Address
First Line	:	2677 ELIZABETH LAKE ROAD
Second Line	:	SUITE 101
City	:	WATERFORD
State	:	MI
Zip	:	48328
Country	:	US
Telephone Number	:	248-682-8811
Fax Number	:	866-883-1763

Provider Business Practice Location Address
First Line	:	2677 ELIZABETH LAKE ROAD
Second Line	:	SUITE 101
City	:	WATERFORD
State	:	MI
Zip	:	48328
Country	:	US
Telephone Number	:	248-682-8811
Fax Number	:	866-883-1763

Authorized Official
Title or Position	:	PRESIDENT/DENTIST
Name	:	DR. JAMES RAYMOND DELANEY III
Credential	:	D.D.S.
Telephone Number	:	248-682-8811

Provider Enumeration Date	:	04/25/2007
Last Update Date	:	02/11/2026

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