John Charles Malloy in Lewisburg - Oral And Maxillofacial Surgery
John Charles Malloy - NPI 1275572737
John Charles Malloy is a Oral And Maxillofacial Surgery in Lewisburg, Pennsylvania. John Charles Malloy practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for John Charles Malloy is 1275572737. The last update date is 2007-07-08.
John Charles Malloy's current location address is 115 Farley Circle, Lewisburg, Pennsylvania. You can contact this provider via phone number 5705242828 and fax number 5705249199. The mailing address for John Charles Malloy is 115 Farley Circle, Lewisburg, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Charles Malloy |
|---|---|
| Address | 115 Farley Circle, Lewisburg, Pennsylvania |
| Phone Number | 5705242828 |
| Fax Number | 5705249199 |
| Sole Proprietor | X |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1275572737 |
|---|---|
| Provider Enumeration Date | 2006-06-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 115 Farley Circle |
|---|---|
| City | Lewisburg |
| State | Pennsylvania (PA) |
| Post Code | 17837 |
| Phone Number | 5705242828 |
| Fax Number | 5705249199 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | DS030741L |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 50017985 | PA | CAPITAL BLUE CROSS | |
| 83988 | PA | GEISINGER HEALTH PLAN |
Post Comment/ Review Below
Where is the John Charles Malloy located?
The John Charles Malloy is located at 115 Farley Circle, Lewisburg, PA 17837.
Could you please provide the complete physical location address of John Charles Malloy?
The John Charles Malloy is physically situated at 115 Farley Circle, in the city of Lewisburg, state of PA, with the postal code 17837.
What is the John Charles Malloy's specialty and taxonomy code?
The John Charles Malloy's specialty is Oral And Maxillofacial Surgery, and the corresponding taxonomy code is 1223S0112X.
On what date did the Centers for Medicare & Medicaid Services issue the 1275572737 to John Charles Malloy?
The John Charles Malloy received its 1275572737 assignment from the Centers for Medicare & Medicaid Services on 2006-06-06.
When was the information pertaining to John Charles Malloy most recently updated or revised?
The details related to John Charles Malloy, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.