Jack L Malvin Dental Associates, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

020641 Issued in PA

Legal business name

JACK L MALVIN DENTAL ASSOCIATES, PC

Practice address

242 S Highland Ave
Suite 201
Pittsburgh, PA 15206-3937

Phone

(412) 661-7316

Fax

(412) 661-5903

NPI assigned

Aug 7, 2007

Last updated

Aug 7, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jack Lee Malvin, DMDNPI 1063521805

Title

President

Phone

(412) 661-7316

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jack Lee Malvin, DMD

  • General Practice Dentistry
  • Pittsburgh, PA
  • NPI 1063521805
  Authorized official Same address or phone

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186444800000",
    "number": "1699966457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 S HIGHLAND AVE",
            "address_2": "SUITE 201",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152063937",
            "telephone_number": "412-661-7316",
            "fax_number": "412-661-5903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 S HIGHLAND AVE",
            "address_2": "SUITE 201",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152063937",
            "telephone_number": "412-661-7316",
            "fax_number": "412-661-5903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK L MALVIN DENTAL ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2007-08-07",
        "status": "A",
        "authorized_official_last_name": "MALVIN",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "412-661-7316",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "020641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Beth Jaber
• Emily Ann Jaberi, MD
• Tina Marie Jablonski
• Jack D Spencer,DMD
• Jack Demos, M.D., Inc.
• Danielle N. Jack
• David Jack, RPH
• Jessica Paige Jack, MSW
• Kerri A Jack, PA
• Lauren Jack

• General Practice Dentistry in Pittsburgh, PA
• Providers in Pittsburgh, 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 Aug 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.