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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JOHN CHARLES MALLOY, DMD

Active

JOHN CHARLES MALLOY, DMD is a Oral & Maxillofacial Surgery healthcare provider located in LEWISBURG, Pennsylvania. NPI 1275572737 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery · LEWISBURG, PA

Registration Details

NPI Number
1275572737
Provider Type
Individual
Gender
Male
NPI Issued
Jun 6, 2006 (20.153708471475 yrs)
Last Updated
Jul 8, 2007
Licenses
DS030741L (PA)
DA031566 (PA)

Practice Information

Address
115 FARLEY CIRCLE
SUITE 203
LEWISBURG, PA, 17837
Browse PA providers · Browse ZIP 17837
Phone
5705242828
Fax
5705249199
Primary Specialty
Oral & Maxillofacial Surgery
1223S0112X
Additional Specialty
Oral & Maxillofacial Surgery

Other Oral & Maxillofacial Surgery Providers in LEWISBURG, PA

Name Credential NPI
DR. JASON ALABAKOFF D.D.S., M.D. 1083833032
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.