Robert J Maley DDS PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D10229 Issued in MN

Legal business name

ROBERT J MALEY DDS PA

Practice address

1150 Montreal Ave
Suite 104
Saint Paul, MN 55116-2390

Phone

(651) 224-0001

Fax

(651) 224-9958

NPI assigned

Apr 29, 2015

Organization subpart

No

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

Authorized official

Name

Robert John Maley, DDS

Title

Ceo/President

Phone

(651) 224-0001

Specialties & licenses 1

Addresses

Other names 1

• Dr. Bob Maley Family Dentistry Doing business as

Locations

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

{
    "created_epoch": "1430265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430265600000",
    "number": "1720465784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 MONTREAL AVENUE",
            "address_2": "SUITE 104",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "55116",
            "telephone_number": "651-224-0001",
            "fax_number": "651-224-9958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 MONTREAL AVE",
            "address_2": "SUITE 104",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551162390",
            "telephone_number": "651-224-0001",
            "fax_number": "651-224-9958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT J MALEY DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-29",
        "last_updated": "2015-04-29",
        "status": "A",
        "authorized_official_last_name": "MALEY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "651-224-0001",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D10229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Bob Maley Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Robert W. Glineburg, D.D.S., M.S., P.a.

• General Practice Dentistry in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2015; 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.