Michael John Molloy, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4812 Issued in TN

Practice address

4620 Old Broadway St
Suite a
Knoxville, TN 37918-1759

Phone

(865) 688-2045

NPI assigned

Oct 26, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437234887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4620 OLD BROADWAY ST",
            "address_2": "SUITE A",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379181759",
            "telephone_number": "865-688-2045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4620 OLD BROADWAY ST",
            "address_2": "SUITE A",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379181759",
            "telephone_number": "865-688-2045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLLOY",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "4812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Alexander Moland
• Angela Moler, PTA
• Heidi Moles, MED
• Todd A Moles, CRNA
• Susan Carol Molitor, M.A. CCC-SLP
• Christine Ann Molnar, PT
• Terry Molnar, PH.D.
• Momentum Speech Therapy of Knoxville, LLC
• Valerie Noelly Monarrez
• Anna Moncada

• General Practice Dentistry in Knoxville, TN
• Providers in Knoxville, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.