Healthcare Provider Details

I. General information

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

II. Dates (important events)

Enumeration Date: 12/02/2025
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16 PLEASANT ST
GREAT BARRINGTON MA
01230-1325
US

IV. Provider business mailing address

16 PLEASANT ST
GREAT BARRINGTON MA
01230-1325
US

V. Phone/Fax

Practice location:
  • Phone: 413-528-0884
  • Fax:
Mailing address:
  • Phone: 413-528-0884
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. MICHAEL BURKE MULLANY
Title or Position: OWNER
Credential: DMD
Phone: 413-429-1133