Fitchburg Smiles, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DN20758 Issued in MA

Legal business name

FITCHBURG SMILES, PLLC

Practice address

134 Summer St
Fitchburg, MA 01420-5869

Phone

(774) 289-8411

NPI assigned

Jun 12, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Maged El- Malecki, DMD

Title

Manager

Phone

(617) 949-0199

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528761600000",
    "number": "1477046704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 SUMMER ST",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014205869",
            "telephone_number": "774-289-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 SUMMER ST",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014205869",
            "telephone_number": "774-289-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FITCHBURG SMILES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-12",
        "last_updated": "2018-06-12",
        "status": "A",
        "authorized_official_last_name": "EL- MALECKI",
        "authorized_official_first_name": "MAGED",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "617-949-0199",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MA",
            "license": "DN20758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fitchburg Family Pharmacy, Inc
• Fitchburg Gardens for Nursing and Rehabilitation LLC
• Fitchburg Pediatrics, P.C.
• Fitchburg Rehabilitation and Nursing Center LLC
• Fitchburg Smiles
• Fitchburg State College- Health Services
• Fitchburg Transportation LLC
• Fitchburgh Dentistry and Braces PC
• Kelsey Renee Fithen, MA
• Katelyn Fitzgerald

• Dental Clinic/Center in Fitchburg, MA
• Providers in Fitchburg, MA by specialty
• Dental Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2018; 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.