John Gordon Mullally in Lutherville - Endodontics
John Gordon Mullally - NPI 1164541892
John Gordon Mullally is a Endodontics in Lutherville, Maryland. John Gordon Mullally practices all healthcare services and medical treatments related to Endodontics. The NPI Number for John Gordon Mullally is 1164541892. The last update date is 2019-02-05.
John Gordon Mullally's current location address is 1407 York Rd Ste 210, Lutherville, Maryland. You can contact this provider via phone number 4108215553 and fax number 4108257213. The mailing address for John Gordon Mullally is 1407 York Rd Ste 210, Lutherville, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Gordon Mullally |
|---|---|
| Address | 1407 York Rd Ste 210, Lutherville, Maryland |
| Phone Number | 4108215553 |
| Fax Number | 4108257213 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1164541892 |
|---|---|
| Provider Enumeration Date | 2007-03-27 |
| Last Updated Date | 2019-02-05 |
Provider Mailing Address Detail
| Address | 1407 York Rd Ste 210 |
|---|---|
| City | Lutherville |
| State | Maryland (MD) |
| Post Code | 210936042 |
| Phone Number | 4108215553 |
| Fax Number | 4108257213 |
Provider's Primary Taxonomy Detail
| Speciality | Endodontics |
|---|---|
| Taxonomy | 1223E0200X |
| Licence No | 12805 |
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Definition: The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the eti |
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What is the unique 10-digit identifier code assigned to John Gordon Mullally by the Centers for Medicare & Medicaid Services?
The John Gordon Mullally has been issued the NPI (National Provider Identifier) 1164541892 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of John Gordon Mullally?
The John Gordon Mullally is situated at 1407 York Rd Ste 210, in the city of Lutherville, state of MD, with the zip code 210936042.
What is the John Gordon Mullally's area of specialization and corresponding taxonomy classification?
The John Gordon Mullally's specialty field is Endodontics, and it falls under the taxonomy code 1223E0200X, which categorizes healthcare providers based on their specialties.
On what date was the 1164541892 assigned to John Gordon Mullally?
The John Gordon Mullally was issued its 1164541892 on 2007-03-27, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to John Gordon Mullally most recently updated or revised?
The details related to John Gordon Mullally, including its address, specialty, and other relevant information, were last updated or revised on 2019-02-05.