Mullooly Dental Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

19127 Issued in CA

Legal business name

MULLOOLY DENTAL CORPORATION

Practice address

3550 Callan Blvd
South San Francisco, CA 94080-5117

Phone

(650) 873-6681

Fax

(650) 873-1080

NPI assigned

Feb 28, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Leo Mullooly, D.D.S.NPI 1225172463

Title

President

Phone

(650) 873-6681

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Thomas Leo Mullooly, D.D.S.

  • General Practice Dentistry
  • South San Francisco, CA
  • NPI 1225172463
  NPD (past) Authorized official
• Kristina Elaine Zoulas, D.D.S.

  • General Practice Dentistry
  • Berkeley, CA
  • NPI 1558598672
  NPD (past)

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285761858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 CALLAN BLVD",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940805117",
            "telephone_number": "650-873-6681",
            "fax_number": "650-873-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 CALLAN BLVD",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940805117",
            "telephone_number": "650-873-6681",
            "fax_number": "650-873-1080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULLOOLY DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MULLOOLY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "LEO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-873-6681",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "19127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan William Mowbray, PT
• Derek Mui
• Sammie Mui, PA-C
• Silbey S. Mui, MD
• Joseph Mulero
• Thomas Leo Mullooly, D.D.S.
• Joshua Emmanuel Munoz, RCP
• David R. Murad Jr., MD
• Naomi Murai, PT
• Keith Muramoto, MD

• Dental Clinic/Center in South San Francisco, CA
• Providers in South San Francisco, CA by specialty
• Dental Clinic/Center in California

• 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.