Denny Lee Malcom, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN008060 Issued in GA

Practice address

133 Cherokee Rd
Social Circle, GA 30025-0443

Phone

(770) 464-2636

Fax

(770) 464-2636

NPI assigned

Sep 1, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Denny L Malcom DDS PC

  • Dentist
  • Social Circle, GA
  • NPI 1215039292
  NPD (past) Authorized official

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487756466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 443",
            "city": "SOCIAL CIRCLE",
            "state": "GA",
            "postal_code": "300250443",
            "telephone_number": "770-464-2636",
            "fax_number": "770-464-2636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 CHEROKEE RD",
            "city": "SOCIAL CIRCLE",
            "state": "GA",
            "postal_code": "300250443",
            "telephone_number": "770-464-2636",
            "fax_number": "770-464-2636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALCOM",
        "first_name": "DENNY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN008060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maraugwu Nkem Ike, RN
• Donovan D. Jones Jr., DMD
• Just for Kids Therapy Services, Inc.
• Kevin D Lanclos, MD
• Kimberly Gibson Lane, RDN
• Marmalade Healthcare LLC (Abbey Hospice)
• Marmalade Pallative Health LLC (Abbey Palliative Care)
• Marmalade Palliative Care LLC
• Christopher Mattocks
• Alicia McGee, PTA

• General Practice Dentistry in Social Circle, GA
• Providers in Social Circle, GA by specialty
• General Practice Dentistry in Georgia

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.