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NPI Code Detail

MEDICARE: MICHAEL J. MALONEY, D.D.S., P.C.

MEDICARE: MICHAEL J. MALONEY, D.D.S., 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
1261QD0000XDental Clinic/Center043407NY

General Provider Information

NPI Number : 1811171465
Entity Type Code : Organization
Provider Name (Legal Business Name) : MICHAEL J. MALONEY, D.D.S., P.C.
Provider Business Mailing Address
First Line : 216 TROY SCHENECTADY RD
Second Line :
City : LATHAM
State : NY
Zip : 12110-3425
Country : US
Telephone Number : 518-782-9015
Fax Number : 518-782-7341
Provider Business Practice Location Address
First Line : 216 TROY SCHENECTADY RD
Second Line :
City : LATHAM
State : NY
Zip : 12110-3425
Country : US
Telephone Number : 518-782-9015
Fax Number : 518-782-7341
Authorized Official
Title or Position : PRESIDENT/SECRETARY
Name : DR. MICHAEL JOSEPH MALONEY
Credential : D.D.S.
Telephone Number : 518-782-9015
Provider Enumeration Date : 12/18/2007
Last Update Date : 12/18/2007

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Directions to “MICHAEL J. MALONEY, D.D.S., P.C. ” Practice Location

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