Maloof & Wicklund PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

MALOOF & WICKLUND PLLC

Practice address

727 Ericksen Ave NE
Suite 1
Bainbridge Island, WA 98110

Phone

(206) 842-6624

Fax

(206) 980-5654

NPI assigned

May 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Lance F Wicklund, DMD

Title

Owner

Phone

(206) 842-6624

Specialties & licenses 1

Addresses

Other names 1

• Winslow Dental Group Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Steven S Maloof, DDS

  • Dentist
  • Bainbridge Island, WA
  • NPI 1760550875
  NPD (past)

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871707976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 ERICKSEN AVE NE",
            "address_2": "SUITE 1",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "98110",
            "telephone_number": "206-842-6624",
            "fax_number": "206-980-5654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 ERICKSEN AVE NE",
            "address_2": "SUITE 1",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "98110",
            "telephone_number": "206-842-6624",
            "fax_number": "206-980-5654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALOOF & WICKLUND PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WICKLUND",
        "authorized_official_first_name": "LANCE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-842-6624",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Winslow Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Jo Macfarlane, RN
• Somayina Madden, LMT
• Pamela Malo
• Malone Pediatrics PLLC
• Frances R Malone, PHD
• Steven S Maloof, DDS
• Paul J Marano, PHD
• Alexis Marino, DPT
• Marjorie J. Rubin, Ma, LMHC, PLLC
• Debra Ann Marshall, L.M.F.T.

• Dentist in Bainbridge Island, WA
• Providers in Bainbridge Island, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.