Philip F Mamolito DMD PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12851 Issued in MA

Legal business name

PHILIP F MAMOLITO DMD PC

Practice address

114 Wendell Ave
Suite 1
Pittsfield, MA 01201-6976

Phone

(413) 442-8684

NPI assigned

Sep 7, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Philip F Mamolito, DMD

Title

President

Phone

(413) 442-8684

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189123200000",
    "number": "1649465220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 WENDELL AVE",
            "address_2": "SUITE 1",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012016976",
            "telephone_number": "413-442-8684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 WENDELL AVE",
            "address_2": "SUITE 1",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012016976",
            "telephone_number": "413-442-8684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP F MAMOLITO DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-07",
        "last_updated": "2007-09-07",
        "status": "A",
        "authorized_official_last_name": "MAMOLITO",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "413-442-8684",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "12851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MA STATE ID",
            "identifier": "12851",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Phelps-Smith LLC
• Rebecca Lynn Phelps-Smith, LICSW
• Denison Phelps
• Eleanor Hildreth Phelps
• Jason David Phelps
• Brian Phillips
• Jerad Phillips
• Kimberly Phillips, MS
• Shelby Phillips
• Blessing Adukwu Phinney, MD

• General Practice Dentistry in Pittsfield, MA
• Providers in Pittsfield, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.