Healthcare Provider Details

I. General information

NPI: 1437217726
Provider Name (Legal Business Name): DAVID L MCNAMEE DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/05/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2924 PLYMOUTH AVE
ROCKY RIVER OH
44116-3230
US

IV. Provider business mailing address

2924 PLYMOUTH AVE
ROCKY RIVER OH
44116-3230
US

V. Phone/Fax

Practice location:
  • Phone: 440-333-4987
  • Fax: 440-333-4986
Mailing address:
  • Phone: 440-333-4987
  • Fax: 440-333-4986

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number63939
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: