Malak Adel Al-Hadlaq, BDS

Primary specialty

DentistTaxonomy code 122300000X

License

DL14090 Issued in MA

Practice address

1620 Tremont St Ste 3-028
Boston, MA 02120-1613

Phone

(617) 732-6684

NPI assigned

Jul 29, 2019

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

Electronic endpoints 1

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": "1564358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1255985198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 MASS AVE APT 219",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021153511",
            "telephone_number": "857-399-6813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 TREMONT ST STE 3-028",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021201613",
            "telephone_number": "617-732-6684"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44 Binney St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021156084",
            "country_code": "US",
            "telephone_number": "617-632-3484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AL-HADLAQ",
        "first_name": "MALAK",
        "middle_name": "ADEL",
        "name_prefix": "Dr.",
        "credential": "BDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-29",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DL14090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "EPIC",
            "affiliation": "Y",
            "affiliationName": "Brigham and Women's Hospital",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1620 Tremont St Ste 3-028",
            "city": "Boston",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021201613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Zaid Al-Bender, D.M.D.
• Alyaa Al-Dohan, BDS
• Hamad Al-Fahad, D.M.D.
• Abrar O. Al-Faraj, MD
• Fouad Abdullah Al-Ghamdi
• Shatha Subhi Al-Harthi
• Ali Ghazi Al-Haseni, M.D.
• Khalid Al-Hourani
• Alyaa Al-Ibraheemi
• Aseel Abd Al-Munaf Hussein Al-Jadiri

• Dentist in Boston, MA
• Providers in Boston, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.