Sylvester B Malcom, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN122625 Issued in GA

Practice address

1002 Pointe South Pkwy
Jonesboro, GA 30238-4324

Phone

(678) 559-5891

NPI assigned

Feb 15, 2016

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Confident Smiles of Waldorf LLC

  • Dental Clinic/Center
  • Waldorf, MD
  • NPI 1740777325
  NPD (past)
• Confident Smiles, LLC

  • General Practice Dentistry
  • Takoma Park, MD
  • NPI 1265804306
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1455494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1124487590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "859 JIM DAWS RD",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306564863",
            "telephone_number": "678-559-5891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 POINTE SOUTH PKWY",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302384324",
            "telephone_number": "678-559-5891"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11865 Federal Sq",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "Waldorf",
            "state": "MD",
            "postal_code": "206022554",
            "country_code": "US",
            "telephone_number": "301-645-2211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALCOM",
        "first_name": "SYLVESTER",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-15",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "15814",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN122625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dewayne Alvin Magee Sr.
• Magnolia Counseling and Wellness
• Celestine O Maiki, MD
• Jerome A Maislis, PA-C
• Charles F Major Jr., D.M.D.
• Mercy B Manga, NP-C
• Azad Mansouri, MD
• Michelle Maples, RN
• Roland K Mapp
• Eddra Y Marchand, MD

• General Practice Dentistry in Jonesboro, GA
• Providers in Jonesboro, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.