Raymond Peter Maly, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D14108 Issued in MI

Practice address

43025 W 10 Mile Rd
Novi, MI 48375

Phone

(248) 347-3700

NPI assigned

Nov 15, 2006

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

Other names 1

• R Peter Maly Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• R. Peter Maly DDS PC

  • General Practice Dentistry
  • Novi, MI
  • NPI 1285850677
  NPD Authorized official

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1720150535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43025 W 10 MILE RD",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483753217",
            "telephone_number": "248-347-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43025 W 10 MILE RD",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "48375",
            "telephone_number": "248-347-3700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24033 Meadowbrook",
            "address_purpose": "LOCATION",
            "city": "Novi",
            "state": "MI",
            "postal_code": "48375",
            "country_code": "US",
            "telephone_number": "248-347-3700",
            "fax_number": "248-347-1541",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24033 Meadowbrook",
            "address_purpose": "LOCATION",
            "city": "Novi",
            "state": "MI",
            "postal_code": "48375",
            "country_code": "US",
            "telephone_number": "248-347-3700",
            "fax_number": "248-347-1541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALY",
        "first_name": "RAYMOND",
        "middle_name": "PETER",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "D14108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "R",
            "last_name": "MALY",
            "middle_name": "PETER",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Judith M Malinowski, LLP
• Jacob Mallad, DO
• Nyjua Mallett
• Pashula Malone
• Tamar Corine Malone
• Arevick Mamassian
• Jacyln Marie Mancos
• Cherlyn Mandrell
• Pamela Kay Manela, LMSW, LMFT
• Brenda Manni, PHARMD

• General Practice Dentistry in Novi, MI
• Providers in Novi, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.