Provider Demographics
NPI:1871719518
Name:TONEY, JAMES DAVID (DDS, FAGD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:DAVID
Last Name:TONEY
Suffix:
Gender:M
Credentials:DDS, FAGD
Other - Prefix:DR
Other - First Name:DAVID
Other - Middle Name:
Other - Last Name:TONEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS, FAGD
Mailing Address - Street 1:100 E MCDERMOTT DR
Mailing Address - Street 2:#10
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75002-2808
Mailing Address - Country:US
Mailing Address - Phone:972-727-4468
Mailing Address - Fax:972-727-2769
Practice Address - Street 1:100 E MCDERMOTT DR
Practice Address - Street 2:#10
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75002-2808
Practice Address - Country:US
Practice Address - Phone:972-727-4468
Practice Address - Fax:972-727-2769
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX151061223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX468209OtherUNITED CONCORDIA INSUR CO
TXD15106OtherBLUE CROSS BLUE SHIELD ID