MEDICARE: MICHAEL B. MULLANY D.M.D. P.C.

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	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1427910041
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MICHAEL B. MULLANY D.M.D. P.C.

Provider Business Mailing Address
First Line	:	16 PLEASANT ST
Second Line	:
City	:	GREAT BARRINGTON
State	:	MA
Zip	:	01230-1325
Country	:	US
Telephone Number	:	413-528-0884
Fax Number	:

Provider Business Practice Location Address
First Line	:	16 PLEASANT ST
Second Line	:
City	:	GREAT BARRINGTON
State	:	MA
Zip	:	01230-1325
Country	:	US
Telephone Number	:	413-528-0884
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. MICHAEL BURKE MULLANY
Credential	:	DMD
Telephone Number	:	413-429-1133

Provider Enumeration Date	:	12/02/2025
Last Update Date	:	12/02/2025

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