Ben Malabanan Jr., D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D-979 Issued in GU

Practice address

2011 Route 16, Manhattan Plaza Building
Suite 201-202
Dededo, GU 96929

Phone

(671) 649-4446

Fax

(671) 646-8443

NPI assigned

May 14, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821203779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 HARMON LOOP RD",
            "address_2": "SUITE 107 PNB 201",
            "city": "DEDEDO",
            "state": "GU",
            "postal_code": "969296544",
            "telephone_number": "671-649-4446",
            "fax_number": "671-646-8443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 ROUTE 16, MANHATTAN PLAZA BUILDING",
            "address_2": "SUITE 201-202",
            "city": "DEDEDO",
            "state": "GU",
            "postal_code": "96929",
            "telephone_number": "671-649-4446",
            "fax_number": "671-646-8443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALABANAN",
        "first_name": "BEN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GU",
            "license": "D-979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Lentz, M.D.
• Pei-Chang Liu, M.D., M.P.H
• Virgilio Ignacio Lopez, M.D.
• Lean Carlo Mendoza Losinio, CNM
• Lilia Lynch
• Edison Pineda Manaloto, M.D.
• Mariano Prime Limited Liability (Mega Drug III)
• Mariano Prime Limited Liability (Mega Drug II)
• Geraldine D.a. Mariano, RPH
• Maria Chela Arana Mariano, MD

• General Practice Dentistry in Dededo, GU
• Providers in Dededo, GU by specialty
• General Practice Dentistry in Guam

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.