Anthony G Malis is a Dentist in Waterford, Michigan. Anthony G Malis practices all healthcare services and medical treatments related to Dentist. The NPI Number for Anthony G Malis is 1861546400. The last update date is 2007-07-08.
Anthony G Malis's current location address is 2335 Pontiac Lake Rd, Waterford, Michigan. You can contact this provider via phone number 2486813600 and fax number 2486817172. The mailing address for Anthony G Malis is 2335 Pontiac Lake Rd, Waterford, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Anthony G Malis |
|---|---|
| Address | 2335 Pontiac Lake Rd, Waterford, Michigan |
| Phone Number | 2486813600 |
| Fax Number | 2486817172 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1861546400 |
|---|---|
| Provider Enumeration Date | 2007-01-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2335 Pontiac Lake Rd |
|---|---|
| City | Waterford |
| State | Michigan (MI) |
| Post Code | 483282761 |
| Phone Number | 2486813600 |
| Fax Number | 2486817172 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 11952 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique 10-digit identification code assigned to Anthony G Malis by the Centers for Medicare & Medicaid Services?
The Anthony G Malis has been issued the NPI (National Provider Identifier) 1861546400, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Anthony G Malis is geographically located?
The Anthony G Malis is physically situated at the following location: 2335 Pontiac Lake Rd, Waterford, MI, 483282761.
What is the Anthony G Malis's specialty and taxonomy code?
The Anthony G Malis's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
On what date did Anthony G Malis receive its 1861546400 assignment from the Centers for Medicare & Medicaid Services?
The Anthony G Malis was assigned its 1861546400 on 2007-01-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Anthony G Malis's details last updated?
The information pertaining to the Anthony G Malis, including its address, specialty, and other details, was most recently updated on 2007-07-08.