# RICHARD J SORBERA DDS SHILBY D MALOUF DDS INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164597217
- **Authorized official:** DR. SHILBY D MALOUF JR. DDS (VICE PRESIDENT)
- **Authorized official phone:** (617) 628-8000

## Contact information

- **Practice address:** 366 BROADWAY, SOMERVILLE, MA 01245-2812
- **Practice address phone:** (617) 628-8000
- **Practice address fax:** (617) 628-2370
- **Mailing address:** 366 BROADWAY, SOMERVILLE, MA 01245-2812
- **Mailing address phone:** (617) 628-8000
- **Mailing address fax:** (617) 628-2370

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 9458 | MA | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 9637 | MA | Yes |

## Other

- **Enumeration date:** 11/22/2006
- **Last updated:** 08/22/2020