Provider Demographics
NPI:1962426700
Name:CERNEY, JAMES A (DDS)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:A
Last Name:CERNEY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4001 GEIST RD STE 5B
Mailing Address - Street 2:
Mailing Address - City:FAIRBANKS
Mailing Address - State:AK
Mailing Address - Zip Code:99709-3569
Mailing Address - Country:US
Mailing Address - Phone:907-479-3326
Mailing Address - Fax:907-479-6410
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
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK4061223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice