Michael Anthony Malki Jr., DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS043743 Issued in PA

Practice address

6 Oriole Ave
Media, PA 19063-4515

Phone

(610) 679-6109

NPI assigned

Jun 29, 2022

Sex

Male

Sole proprietor

No

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": "1656460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1457083313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 ORIOLE AVE",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190634515",
            "telephone_number": "610-679-6109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 ORIOLE AVE",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190634515",
            "telephone_number": "610-679-6109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALKI",
        "first_name": "MICHAEL",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-29",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS043743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucey McKenna Maguire
• Semhar Mahmud, M.D.
• Main Line Hand Center LLC
• Heather Amanda Majtyka, OTR/L SIPT IMC
• Making Connections Counseling, LLC
• Anna Malkiewicz, PSY.D.
• Brian F Mallon
• Anne T. Malone, LCSW
• Kathleen Borsa Malone, CRNP
• Cecilia Kristin Mandel, O.D.

• General Practice Dentistry in Media, PA
• Providers in Media, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; 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.