DR. BEVIN KILEY MALLEY DDS NPI 1356359004

NPI Information

NPI: 1356359004
Provider Name: DR. BEVIN KILEY MALLEY, DDS
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
5408 W FRIENDLY AVE
GREENSBORO, NC
ZIP 27410
Phone: (336) 292-7113
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DR. Bevin Kiley Malley, DDS is a general practice dentist in Greensboro, NC. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Bevin Kiley Malley, DDS NPI is 1356359004. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5408 W FRIENDLY AVE
GREENSBORO, NC
ZIP 27410-367
Phone: (336) 292-7113

The enumeration date for this NPI number is 8/4/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	21176	MASSACHUSETTS	Yes
2	1223P0221X	Dentist	Pediatric Dentistry	8238	NORTH CAROLINA	X

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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