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General NPI Number Information
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NPI Number | 1134256449
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Entity Type | Organization
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Legal Business Name | ANDREW S. MALINOWSKI, D.D.S., P.A.
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1515 SAVANNAH RD STE 101 SOUTHPOINTE PROFESSIONAL CENTRE
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City | LEWES
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State | DE
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Zip | 19958-1675
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Country | US
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Telephone | 302-645-0234
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Fax | 302-645-0394
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Provider Business Mailing Address
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Address Line | 1515 SAVANNAH RD #101 SOUTHPOINTE PROFESSIONAL CENTRE
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City | LEWES
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State | DE
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Zip | 19958
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Country | US
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Telephone | 302-645-0234
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Fax | 302-645-0394
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANDREW S. MALINOWSKI
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Credential | D.D.S.
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Telephone | 302-645-0234
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | G1-0000659
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License Number State | DE
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