J P Malilay DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D923 Issued in GU

Legal business name

J P MALILAY DDS PC

Doing business as

Family Dental Center

Practice address

138 Ypao Road
Family Dental Center Guam Polyclinic Building 2ND Floor
Tamuning, GU 96913

Phone

(671) 646-6510

Fax

(671) 649-4993

NPI assigned

Mar 23, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Janice Poblacion Malilay, DDSNPI 1255874285

Title

President

Phone

(671) 646-6510

Specialties & licenses 1

Addresses

Other names 1

• Family Dental Center Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Janice Malilay, DDS

  • General Practice Dentistry
  • Tamuning, GU
  • NPI 1255874285
  Authorized official Same address or phone

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245357300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 315585",
            "address_2": "FAMILY DENTAL CENTER",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969315585",
            "telephone_number": "671-646-6510",
            "fax_number": "671-649-4993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 YPAO ROAD",
            "address_2": "FAMILY DENTAL CENTER GUAM POLYCLINIC BUILDING 2ND FLOOR",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "96913",
            "telephone_number": "671-646-6510",
            "fax_number": "671-649-4993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J P MALILAY DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MALILAY",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "POBLACION",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "671-646-6510",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GU",
            "license": "D923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Tamuning, GU
• Providers in Tamuning, GU by specialty
• General Practice Dentistry in Guam

• 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.