Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ANDY J MALCOLM, DDS
ActiveDR. ANDY J MALCOLM, DDS is a Pediatric Dentistry healthcare provider located in BELVIDERE, Illinois. NPI 1033207089 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · BELVIDERE, IL
Registration Details
- NPI Number
- 1033207089
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 11, 2006 (19.884481544806 yrs)
- Last Updated
- Jul 27, 2007
Practice Information
- Address
-
163 CADILLAC CTSUITE 3BELVIDERE, IL, 610081737Browse IL providers · Browse ZIP 61008
- Phone
- 8155440909
- Fax
- 8155440922
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.