Healthcare Provider Details
I. General information
NPI: 1871705640
Provider Name (Legal Business Name): GEORGE E. MALONEY, D.M.D.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/04/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
334 HIGHLAND ST
WORCESTER MA
01602-2131
US
IV. Provider business mailing address
334 HIGHLAND ST
WORCESTER MA
01602-2131
US
V. Phone/Fax
- Phone: 508-752-1007
- Fax:
- Phone: 508-752-1007
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 122300000X |
| Taxonomy | Dentist |
| License Number | 14984 |
| License Number State | MA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 171100000X |
| Taxonomy | Acupuncturist |
| License Number | 216236 |
| License Number State | MA |
VIII. Authorized Official
Name: DR.
GEORGE
EDWARD
MALONEY
Title or Position: DENTIST
Credential: D.M.D.
Phone: 508-752-1007