person
John Charles Malloy, DMD
Oral and Maxillofacial Surgery (Dentist) in Lewisburg, Pennsylvania
NPI 1275572737

John Charles Malloy is a Oral and Maxillofacial Surgery (Dentist) based in Sunbury, PA and is specialized in Oral and Maxillofacial Surgery. John Charles Malloy practices in Lewisburg, PA and has the professional credentials of DMD. The NPI Number for John Charles Malloy is 1275572737 and holds a License No. DS030741L (Pennsylvania).

The current practice location address for John Charles Malloy is 115 Farley Circle, Lewisburg, PA and can be reached out via phone at 570-524-2828 and via fax at 570-524-9199.

Location: 115 Farley Circle, Lewisburg, PA, 17801
person
Provider Profile Details
NPI Number
1275572737
Provider Name
John Charles Malloy
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
115 Farley Circle, Lewisburg, PA, 17801
Phone Number
570-524-2828
Fax Number
570-524-9199
Provider Enumeration Date
06/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
50017985 01 PA CAPITAL BLUE CROSS
83988 01 PA GEISINGER HEALTH PLAN
institution
Provider Business Practice Location Address Details
Address
115 Farley Circle
City
State
Zip
17837
Phone Number
570-524-2828
Fax Number
570-524-9199
person
Provider Business Mailing Address Details
Address
115 Farley Circle
City
State
Zip
17837
Phone Number
570-524-2828
Fax Number
570-524-9199
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
DS030741L (Pennsylvania)
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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