DR. HENRY MARTIN MALLEK (NPI# 1285788588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285788588 |
| Entity Type | Individual |
| Full Name | DR. HENRY MARTIN MALLEK |
| Credential | D.M.D. PH.D. F.A.C.N |
| Practice Address |
4910 Massachusetts Ave Nw Suite 219 Washington DC 20016-4300 |
| Practice Telephone | 2023640688 |
| Practice Fax Number | 2023640166 |
| Mailing Telephone | 2023640688 |
| Mailing Fax Number | 2023640166 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
3935 | DC | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DC | LICENSE NUMBER | 3935 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437539921 | Henry Mallek I | Dentist | 697 Louisiana Drive, Dyess Afb, TX 79607-1367 | 2015-06-01 |
| Street Address |
4910 MASSACHUSETTS AVE NW SUITE 219 |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20016-4300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023011095 | Elise Ney | Audiologist | 4910 Massachusetts Ave Nw, Ste 29, Washington, DC 20016-4382 | 2005-05-24 |
| 1720462229 | Grace Allison Beers | Physician Assistant | 4910 Massachusetts Ave Nw, Washington, DC 20016-4300 | 2015-07-14 |
| 1922395581 | Mmg - Georgetown Family Practice LLC | General Practice | 4910 Massachusetts Ave Nw, Suite 115, Washington, DC 20016-4300 | 2011-07-05 |
| 1306131172 | Kourtney Osorio | Family Medicine | 4910 Massachusetts Ave Nw, Washington, DC 20016-4300 | 2011-06-09 |
| 1265742118 | Ney Associates Inc. | Audiologist-Hearing Aid Fitter | 4910 Massachusetts Ave Nw, Suite 29, Washington, DC 20016-4300 | 2010-10-13 |
| 1265666291 | Shawna Leigh Hawk | Dentist | 4910 Massachusetts Ave Nw, Suite 210, Washington, DC 20016-4300 | 2009-05-05 |
| 1013155654 | Comprehensive Cardiac Care Pllc | Internal Medicine | 4910 Massachusetts Ave Nw, Suite 302, Washington, DC 20016-4388 | 2009-02-03 |
| 1548406218 | Sanjay M Patel | Physical Therapist | 4910 Massachusetts Ave Nw, Mid-atlantic Podiatry Associates- Suite 315, Washington, DC 20016-4300 | 2008-12-30 |
| 1811215098 | Suzanne French | Nurse Practitioner | 4910 Massachusetts Ave Nw, Suite 308, Washington, DC 20016-4300 | 2008-08-06 |
| 1497931745 | Roya B Pilcher | Dentist | 4910 Massachusetts Ave Nw, Suite 311, Washington, DC 20016-4300 | 2008-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790390144 | Julie Marcus | Nurse Practitioner | 4200 Wisconsin Avenue Nw, 4th Floor, Washington, DC 20016 | 2020-09-12 |
| 1669080289 | Rachel Mary Lipman | Student in an Organized Health Care Education/Training Program | 5185 Macarthur Blvd, Washington, DC 20016 | 2020-07-20 |
| 1285253484 | Shawn Anthony Haupt | Student in an Organized Health Care Education/Training Program | 4200 Wisconsin Ave, 4th Floor, Dept of Pediatrics, Washington, DC 20016 | 2020-04-09 |
| 1457991176 | Joseph Stephen Driscoll | Specialist/Technologist | St. Albans School / Mount St, Alban, 3001 Wisconsin Ave, Washington, DC 20016 | 2020-01-10 |
| 1164063293 | Christine Ju | Dietitian, Registered | 3517 Ordway St Nw, Washington, DC 20016 | 2019-09-30 |
| 1376191072 | Carlitta Theresa Harris | Registered Nurse | 501 School Street Suite, Suite 200, Sw, DC 20016 | 2019-08-27 |
| 1295399384 | People's Lactation LLC | Registered Nurse | 3022 Wisconsin Ave Nw Apt 208, Washington, DC 20016 | 2019-04-24 |
| 1578057428 | Itzhak Brook | General Practice | 4431 Albemarle St. Nw, Washington, DC 20016 | 2018-06-14 |
| 1093211724 | Hannah Elise Sterling | Student in an Organized Health Care Education/Training Program | 4200 Wisconsin Ave Nw 4th Floor, Department of Pediatrics, Washington, DC 20016 | 2018-04-02 |
| 1447755616 | Michele Elizabeth Zaragoza | Student in an Organized Health Care Education/Training Program | 4200 Wisconsin Ave Nw, 4th Floor, Dept of Pediatrics, Washington, DC 20016 | 2018-03-28 |
| Find all providers in zip 20016 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467004341 | Yelena Obholz Dds II Pllc | Dentist | 5101 Wisconsin Ave Nw Ste 107b, Washington, DC 20016-4136 | 2019-07-11 |
| 1588149470 | Amir Shayesteh | Dentist | 600 W St Nw Ste 400, Washington, DC 20059-1022 | 2018-09-26 |
| 1700309861 | Advanced Periodontics of Washington, Pllc | Dentist | 1145 19th St Nw Ste 510, Washington, DC 20036-3715 | 2017-07-20 |
| 1992085724 | Jean Li | Dentist | 1212 New York Ave Nw Ste 430, Washington, DC 20005-3987 | 2011-08-24 |
| 1720393184 | Jaffer F Arastu | Dentist | 1841 Columbia Rd Nw Apt A, Washington, DC 20009-2200 | 2010-08-10 |
| 1275779274 | Marvin F. Grower | Dentist | Howard Univ College of Dent 600 W St Nw, Washington, DC 20059-0001 | 2008-12-21 |
| 1821293465 | Sina Peter Farzin | Dentist | 4545 42nd Street Nw, Suite 108, Washington, DC 20016 | 2007-06-15 |
| 1417030495 | Monette Marie Shuutleworth | Dentist | 5225 Wisconsin Ave Nw Suite #511, Washington, DC 20015 | 2006-10-23 |
| 1689769788 | Specialty Periodontal Care of Washington Pa LLC | Dentist | 2790 West Chestnut Street, Washington, PA 15301 | 2006-10-04 |
| 1518947605 | Armin Abron | Dentist | 1712 Eye St Nw, Suite 202, Washington, DC 20006-3702 | 2006-01-17 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20016 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.