NPIMap

Organization Active NPI

Denny L Malcom DDS PC

  • Dentist
  • Social Circle, GA
National Provider Identifier
1215039292
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN008060 Issued in GA
Legal business name
DENNY L MALCOM DDS PC
Practice address
133 Cherokee Rd
Social Circle, GA 30025-0443
Phone
(770) 464-2636
Fax
(770) 464-2636
NPI assigned
Sep 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Denny L Malcom, DDSNPI 1487756466
Title
Ceo
Phone
(770) 464-2636

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DN008060 GA Primary

Addresses

Primary practice location

133 Cherokee Rd
Social Circle, GA 30025-0443

Mailing address

PO Box 443
Social Circle, GA 30025-0443
Phone (770) 464-2636

National Provider Directory

National Provider Directory

Locations

133 S Cherokee Rd
Social Circle, GA 30025
Phone (770) 464-2636

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215039292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 443",
            "city": "SOCIAL CIRCLE",
            "state": "GA",
            "postal_code": "300250443",
            "telephone_number": "770-464-2636",
            "fax_number": "770-464-2636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 CHEROKEE RD",
            "city": "SOCIAL CIRCLE",
            "state": "GA",
            "postal_code": "300250443",
            "telephone_number": "770-464-2636",
            "fax_number": "770-464-2636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNY L MALCOM DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MALCOM",
        "authorized_official_first_name": "DENNY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-464-2636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN008060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Social Circle, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.