JOHN MULLALLY (NPI# 1538623798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538623798 |
| Entity Type | Organization |
| Organization Name | JOHN MULLALLY |
| Practice Address |
1407 York Rd Ste 210 Lutherville MD 21093-6042 |
| Practice Telephone | 4108215553 |
| Mailing Telephone | 4108215553 |
| Enumeration Date | 2019-01-22 |
| Last Update Date | 2019-01-22 |
| Authorized Official Name | JOHN G MULLALLY (OWNER) |
| Authorized Official Telephone | 4108215553 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427512680 | John Mullally | Dentist | 208 Fulford Ave, Bel Air, MD 21014-3814 | 2019-01-22 |
| Street Address |
1407 YORK RD STE 210 |
| City | LUTHERVILLE |
| State | MD |
| Zip Code | 21093-6042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164541892 | John Gordon Mullally | Dentist | 1407 York Rd Ste 210, Lutherville, MD 21093-6042 | 2007-03-27 |
| 1598957243 | Melamed Endodontics LLC | Dentist | 1407 York Rd Ste 210, Lutherville, MD 21093-6042 | 2007-08-16 |
| 1063604718 | Judy Yudita Melamed | Dentist | 1407 York Rd Ste 210, Lutherville, MD 21093 | 2007-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497309959 | Megan Lagergren | Social Worker | 1407 York Rd. Suite 307, Baltimore, MD 21093 | 2019-08-01 |
| 1437629003 | Mary Ann Lopus | Counselor | Villa Maria School 2300 Dulaney Valley Road, Timonium, MD 21093 | 2018-11-27 |
| 1275001455 | Hannah Michele Breckenridge | Social Worker | 1212 York Rd Ste A302, Lutherville, MD 21093 | 2018-11-06 |
| 1386111573 | Christina Calabrese | Social Worker | Villa Maria School, 2300 Dulaney Valley Road, Timonium, MD 21093 | 2018-10-26 |
| 1790279735 | Synopsis Healthscience | Internal Medicine | 19 Huntress Ct, Timonium, MD 21093 | 2018-06-21 |
| 1134648629 | Centers for Advanced Orthopaedics, LLC | Occupational Therapist | 1312 Bellona Ave Ste 302, Lutherville, MD 21093 | 2017-09-15 |
| 1134647746 | Andrea Stokes Rackowski | Social Worker | 1400 Front Ave. Suite 305, Lutherville, MD 21093 | 2017-09-03 |
| 1790200780 | Judson Franklin Force Jr. | Pediatrics | 309 Overlook Dr, Timonium, MD 21093 | 2017-08-10 |
| 1942722053 | Eundae Suk | Chiropractor | 1407 York Rd Ste 302, Lutherville, MD 21093 | 2017-07-10 |
| 1508301482 | Bh Brightview Mays Chapel Ridge Opco, LLC | Alzheimer Center (Dementia Center) | 12261 Roundwood Road, Timonium, MD 21093 | 2016-12-30 |
| Find all providers in zip 21093 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| 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 etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164541892 | John Gordon Mullally | Dentist | 1407 York Rd Ste 210, Lutherville, MD 21093-6042 | 2007-03-27 |
| 1972955656 | Tontesh Tawady, LLC | Dentist | 1206 York Rd, Suite 200, Lutherville, MD 21093 | 2016-07-06 |
| 1891170841 | Jeffrey H Gardyn | Dentist | 2328 W Joppa Rd, Lutherville, MD 21093-4612 | 2015-07-20 |
| 1154686228 | Tontesh Shivakumar Tawady | Dentist | 1206 York Rd, Suite 200, Lutherville, MD 21093-6217 | 2012-07-05 |
| 1598957243 | Melamed Endodontics LLC | Dentist | 1407 York Rd Ste 210, Lutherville, MD 21093-6042 | 2007-08-16 |
| 1063604718 | Judy Yudita Melamed | Dentist | 1407 York Rd Ste 210, Lutherville, MD 21093 | 2007-08-16 |
| 1649327610 | Eric Richard Volk | Dentist | 1447 York Rd, Suite 607, Lutherville, MD 21093-6017 | 2007-01-04 |
| 1922101906 | John M Hyson IIi D.d.s. P.a. | Dentist | 1206 York Rd, Suite 200, Lutherville, MD 21093-6217 | 2006-09-06 |
| 1447353628 | Stanley S Andrews D.d.s. P.a | Dentist | 1206 York Rd, Suite 200, Lutherville, MD 21093-6217 | 2006-09-06 |
| 1649373804 | Stanley Sigmund Andrews | Dentist | 1206 York Rd, Suite 200, Lutherville, MD 21093-6217 | 2006-09-06 |
| Find all providers in LUTHERVILLE | ||||
| City | LUTHERVILLE |
| Zip Code | 21093 |
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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.