Malek Kallel Souayah, DMD, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN10000009 Issued in MA

Practice address

576 Main St
Woburn, MA 01801-7130

Phone

(781) 995-0540

NPI assigned

Apr 10, 2024

Last updated

Apr 10, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Malek Kallel Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1712707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1194578864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 CHURCH AVE APT 3",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018015070",
            "telephone_number": "413-437-3543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "576 MAIN ST",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018017130",
            "telephone_number": "781-995-0540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALLEL SOUAYAH",
        "first_name": "MALEK",
        "credential": "DMD, DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-10",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN10000009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MALEK",
            "last_name": "KALLEL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Nicole Kalukiewicz, HIS
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• Jeremy Kamari
• August Kaminski
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• General Practice Dentistry in Woburn, MA
• Providers in Woburn, 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 Apr 10, 2024; 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.