Daniel J Molloy, DMD
Individual provider Active NPI Endodontics · West Yarmouth, MA
NPI 1740308741 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1740308741
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Endodontics 1223E0200X
- License
- 16568 (MA)
- Practice address
- 30 Higgins Crowell Road
West Yarmouth, MA 02673 - Phone
- (508) 771-3336
- Fax
- (508) 798-9210
- NPI assigned
- Mar 27, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150707000467 | MA | Order and Referring Only - Oral Surgery |
6901118876 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16568 | MA | MD | Endodontist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 16568 | MA | Yes |
Addresses
Primary practice location
30 Higgins Crowell Road
West Yarmouth, MA 02673
Mailing address
30 Higgins Crowell Road
West Yarmouth, MA 02673
Phone (508) 771-3336
Other providers in West Yarmouth, MA
- Elisa Martin
- Jenna Maxim
- Erica Romy McIsaac
- Jane F McLuckie
- Maria Fatima Messier
- Jessica Moon
- Neheel Healthcare LLC
- Joshua J Ney
- Diane M Oconnell
- Ophthalmic Consultants of Boston, Inc.
All providers in West Yarmouth, MA · Endodontics in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.