Healthcare Provider Details

I. General information

NPI: 1851403083
Provider Name (Legal Business Name): GEORGE EDWARD MALONEY DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

334 HIGHLAND STREET
WORCESTER MA
01602
US

IV. Provider business mailing address

334 HIGHLAND STREET
WORCESTER MA
01602
US

V. Phone/Fax

Practice location:
  • Phone: 508-752-1007
  • Fax: 508-753-3938
Mailing address:
  • Phone: 508-752-1007
  • Fax: 508-753-3938

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number14984
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number216236
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: