Daniela C Mallack
Dentist, General Practice in Montclair, New Jersey
1770173700- Practice location
- 1 Bay Ave, Montclair, NJ 07042-4837
- Phone
- 973-429-6888
- Fax
- —
- Last updated
- February 5, 2025
Daniela C Mallack is a Dentist, General Practice based in Montclair, NJ. Daniela C Mallack practices in Montclair, NJ. The NPI Number for Daniela C Mallack is 1770173700 and holds a License No. 22DI02868001 (NJ). The current practice location address for Daniela C Mallack is 1 Bay Ave, Montclair, NJ 07042-4837 and can be reached out via phone at 973-429-6888.
Provider Profile Details
- NPI Number
- 1770173700
- Provider Name
- Daniela C Mallack
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1 Bay Ave, Montclair, NJ 07042-4837
- Phone Number
- 973-429-6888
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 23, 2021
- Last Update Date
- February 5, 2025
- Certification Date
- January 30, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1 Bay Ave
Montclair, NJ 07042-4837 - City
- Montclair
- State
- New Jersey
- Zip
- 07042-4837
- Phone Number
- 973-429-6888
Provider Business Mailing Address Details
- Address
- 1 Bay Ave
Montclair, NJ 07042-4837 - City
- Montclair
- State
- NJ
- Zip
- 07042-4837
- Phone Number
- 973-429-6888
License Information
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- 22DI02868001
- License State (2)
- NJ
- Taxonomy (2)
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Daniela C Mallack?
The NPI number of Daniela C Mallack is 1770173700. It was assigned on January 23, 2021 and is currently active in the NPPES registry.
What is the specialty of Daniela C Mallack?
Daniela C Mallack is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 22DI02868001.
Where does Daniela C Mallack practice?
The practice location is 1 Bay Ave, Montclair, NJ 07042-4837. The office can be reached at 973-429-6888 (phone).
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 1770173700 directly on the NPPES registry website.