MEDICARE: JOHN J. MALONEY, JR. D.D.S.

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	1862	NH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	X12454	OTHER	MA	BLUE CROSS BLUE SHIELD MA
2	1174567358	OTHER	NH	NPI FOR DR. MALONEY
3	844366	OTHER	NH	OTHER PROVIDER
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	1862	OTHER	NH	LICENCE NO. & DELTA ID#

General Provider Information

NPI Number	:	1871709675
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOHN J. MALONEY, JR. D.D.S.

Provider Business Mailing Address
First Line	:	4 LAKESHORE DR
Second Line	:	PO BOX 1270
City	:	SEABROOK
State	:	NH
Zip	:	03874-4028
Country	:	US
Telephone Number	:	603-474-9506
Fax Number	:	603-474-7138

Provider Business Practice Location Address
First Line	:	4 LAKE SHORE DR
Second Line	:
City	:	SEABROOK
State	:	NH
Zip	:	03874-4028
Country	:	US
Telephone Number	:	603-474-9506
Fax Number	:	603-474-7138

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JOHN J MALONEY JR.
Credential	:	D.D.S.
Telephone Number	:	603-474-9506

Provider Enumeration Date	:	05/16/2007
Last Update Date	:	08/22/2020

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Directions to “JOHN J. MALONEY, JR. D.D.S. ” Practice Location

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