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NPI Code Detail

MEDICARE: DR. JOHN J MALONEY JR. DDS

MEDICARE:  DR. JOHN J MALONEY JR. DDS
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
11223G0001XGeneral Practice Dentistry1862NH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11862OTHERNHDELTA DENTAL
2X12454OTHERMABLUE CROSS BLUE SHIELD MA
3844366OTHERNHOTHER PROVIDER
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1174567358
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN J MALONEY JR. DDS
Provider Business Mailing Address
First Line : 4 LAKE SHORE DR
Second Line : P. O. 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 :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2006
Last Update Date : 07/09/2007

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Directions to “ DR. JOHN J MALONEY JR. DDS” Practice Location

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