Max a Malkoff DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30.012912 Issued in OH

Legal business name

MAX A MALKOFF DMD

Practice address

3040 Belmont Ave
Suite B
Youngstown, OH 44505-1836

Phone

(330) 759-7007

Fax

(330) 759-2959

NPI assigned

Apr 16, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Max A Malkoff, DMD

Title

President/Owner

Phone

(330) 759-7007

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208304000000",
    "number": "1922272467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3040 BELMONT AVE",
            "address_2": "SUITE B",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445051836",
            "telephone_number": "330-759-7007",
            "fax_number": "330-759-2959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3040 BELMONT AVE",
            "address_2": "SUITE B",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445051836",
            "telephone_number": "330-759-7007",
            "fax_number": "330-759-2959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAX A MALKOFF DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-16",
        "last_updated": "2008-04-16",
        "status": "A",
        "authorized_official_last_name": "MALKOFF",
        "authorized_official_first_name": "MAX",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "330-759-7007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.012912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0630204",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julianne Marie Matthews, MD
• Andrew William Mattson, D.D.S.
• Elizabeth A Matuscak, LISW-S
• Andrew Joseph Maughan
• Alyson Maurice
• Lauren Maxwell
• Margaret O Maxwell, LPC
• Dana Ann May, CRNA
• Kylie May
• Lisa May

• General Practice Dentistry in Youngstown, OH
• Providers in Youngstown, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; 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.