Healthcare Provider Details

I. General information

NPI: 1982670519
Provider Name (Legal Business Name): JAMES M COUREY DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/24/2006
Last Update Date: 01/17/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

224 TAYLORS MILLS ROAD SUITE 110
MANALAPAN NJ
07726
US

IV. Provider business mailing address

224 TAYLORS MILLS ROAD SUITE 110
MANALAPAN NJ
07726
US

V. Phone/Fax

Practice location:
  • Phone: 732-577-0555
  • Fax:
Mailing address:
  • Phone: 732-577-0555
  • Fax: 732-577-8555

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License NumberDI18597
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License Number046537
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: