Charikleia Malamou, DDS, MS

Primary specialty

DentistTaxonomy code 122300000X

License

061082 Issued in NY

Practice address

355 W Morris St Ste 105
Bath, NY 14810-1059

Phone

(607) 776-6600

NPI assigned

Jun 9, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1496966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1457880791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 W MORRIS ST STE 105",
            "city": "BATH",
            "state": "NY",
            "postal_code": "148101059",
            "telephone_number": "607-776-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 W MORRIS ST STE 105",
            "city": "BATH",
            "state": "NY",
            "postal_code": "148101059",
            "telephone_number": "607-776-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALAMOU",
        "first_name": "CHARIKLEIA",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-09",
        "last_updated": "2021-03-16",
        "certification_date": "2020-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "061082",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth Anne Lumia, LMSW
• Frank Macdonald, PA
• James E. Mack
• Lois-Jean Marie Madison, NP
• Marvin Maisonave, MD
• Cecilia Anne Marini, MSW
• Nessa Jane Mark, PT, DPT
• Deborah Marshall, PSYD
• Kathryn M. Martin, DTR
• Renee Lynn Martindale, RN, BSN

• Dentist in Bath, NY
• Providers in Bath, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; 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.