Abboud Mallouh, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

19255 Issued in MA

Practice address

50 Boston Tpke
Shrewsbury, MA 01545-3540

Phone

(508) 792-2991

Fax

(508) 799-7681

NPI assigned

Apr 6, 2007

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

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473120000000",
    "number": "1891817052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 ROBINSON DR",
            "city": "BEDFORD",
            "state": "MA",
            "postal_code": "017301359",
            "telephone_number": "617-680-0329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 BOSTON TPKE",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015453540",
            "telephone_number": "508-792-2991",
            "fax_number": "508-799-7681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLOUH",
        "first_name": "ABBOUD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-06",
        "last_updated": "2016-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "19255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Marie Maglich, PHARMD
• Christine M Magner, CCC-SLP
• Daniel Magner, OTRL
• Brian J Maher, D.C.
• Gregory Vincent Mainella, PHARMD
• Janet Mancuso, OTR/L
• Shruti U Mankad, D.M.D.
• Sarah J Marasigan, PHARMD
• Nakia Marchand, MS,CCLS
• Mario F Moretti MD PC

• Dentist in Shrewsbury, MA
• Providers in Shrewsbury, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.