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Dr. Shibly D Malouf JR., DDS
Oral and Maxillofacial Surgery (Dentist) in Somerville, Massachusetts
NPI 1053489682

Shibly D Malouf JR. is a Oral and Maxillofacial Surgery (Dentist) based in Somerville, MA and is specialized in Oral and Maxillofacial Surgery. Shibly D Malouf JR. practices in Somerville, MA and has the professional credentials of DDS. The NPI Number for Shibly D Malouf JR. is 1053489682 and holds a License No. 9637 (Massachusetts).

The current practice location address for Shibly D Malouf JR. is 366 Broadway, Somerville, MA and can be reached out via phone at 617-628-8000 and via fax at 617-628-2370.

Location: 366 Broadway, Somerville, MA, 02145-2812
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053489682
Provider Name
Shibly D Malouf JR.
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
366 Broadway, Somerville, MA, 02145-2812
Phone Number
617-628-8000
Fax Number
617-628-2370
Provider Enumeration Date
12/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Y03044 01 MA BS
009637 01 TUFTS
0223573 05 MA
institution
Provider Business Practice Location Address Details
Address
366 Broadway
City
Somerville
State
Massachusetts
Zip
02145-2812
Phone Number
617-628-8000
Fax Number
617-628-2370
person
Provider Business Mailing Address Details
Address
366 Broadway
City
Somerville
State
Massachusetts
Zip
02145-2812
Phone Number
617-628-8000
Fax Number
617-628-2370
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
9637 (Massachusetts)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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