Joseph Mallouh, D.D.S., PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN19877 Issued in MA

Legal business name

JOSEPH MALLOUH, D.D.S., PC

Practice address

23 Mill St
Leominster, MA 01453-3202

Phone

(978) 537-6106

NPI assigned

Dec 20, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Joseph Mallough, D.D.S.

Title

Owner

Phone

(978) 537-6106

Specialties & licenses 1

Addresses

Other names 1

• Appleseed Dental Doing business as

Tax ID family

Appleseed Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Joseph Mallouh D.D.S., P.C.

  • Dentist
  • Shrewsbury, MA
  • NPI 1841395076
  NPD tax ID

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

{
    "created_epoch": "1355961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355961600000",
    "number": "1194061085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 MILL ST",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014533202",
            "telephone_number": "978-537-6106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 MILL ST",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014533202",
            "telephone_number": "978-537-6106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH MALLOUH, D.D.S., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-20",
        "last_updated": "2012-12-20",
        "status": "A",
        "authorized_official_last_name": "MALLOUGH",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-537-6106",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN19877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Appleseed Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rebecca L Johnston, NP
• Robert Francis Jones, M.D.
• Jordan E. Scott, M.D.
• Noelle Jordan, LICSW
• Joseph J Yamin DMD PC
• Joseph P Lanza, DMD & Peter L Lanza, DMD
• Pierremena Joseph, REGISTERED NURSE
• Devon Ashley Joyce
• James Leslie Kahn, M.D.
• Paula J Kalajian, NP

• General Practice Dentistry in Leominster, MA
• Providers in Leominster, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2012; 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.