Active NPIOrganization

Dr Charles Malkemus INC

Dentist, General Practice in Dorchester, Massachusetts

NPI Number1508977547
Practice location
166 Columbia RD, Dorchester, MA 02121-3411
Fax
617-445-5746
Last updated
August 22, 2020

Dr Charles Malkemus INC is a healthcare organization based in Dorchester, MA. Dr Charles Malkemus INC practices in Dorchester, MA. The NPI Number for Dr Charles Malkemus INC is 1508977547 and holds a License No. MA11207 (MA). The current practice location address for Dr Charles Malkemus INC is 166 Columbia RD, Dorchester, MA 02121-3411 and can be reached out via phone at 617-445-9880 and via fax at 617-445-5746.

Provider Profile Details

NPI Number
1508977547
Provider Name
Dr Charles Malkemus INC
Provider Entity Type
Organization
Address
166 Columbia RD, Dorchester, MA 02121-3411
Phone Number
617-445-9880
Fax Number
617-445-5746
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
Dr. Charles M Malkemus, DDS, JD · President · 617-445-9880
Provider Enumeration Date
August 31, 2006
Last Update Date
August 22, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
166 Columbia RD
Dorchester, MA 02121-3411
Zip
02121-3411
Phone Number
617-445-9880
Fax Number
617-445-5746
Dorchester, MA 02121Get directions →

Provider Business Mailing Address Details

Address
166 Columbia RD
Dorchester, MA 02121-3411
City
Dorchester
State
MA
Zip
02121-3411
Phone Number
617-445-9880
Fax Number
617-445-5746

License Information

License Number
MA11207
License State
MA
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr Charles Malkemus INC?

The NPI number of Dr Charles Malkemus INC is 1508977547. It was assigned on August 31, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr Charles Malkemus INC?

Dr Charles Malkemus INC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number MA11207.

Where does Dr Charles Malkemus INC practice?

The practice location is 166 Columbia RD, Dorchester, MA 02121-3411. The office can be reached at 617-445-9880 (phone) or 617-445-5746 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1508977547 directly on the NPPES registry website.

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