Organization
JOSEPH MALLOUH D.D.S., P.C.
Active
Other names
LAKESIDE DENTAL ASSOCIATES
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH I MALLOUH D.D.S. (OWNER)
(508) 792-2991
Entity
Organization
Contact information
Practice address
50 BOSTON TPKE, WHITE CITY SHOPPING CENTER, SHREWSBURY, MA 01545-3540
(508) 792-2991
(508) 799-7681
Mailing address
50 BOSTON TPKE, WHITE CITY SHOPPING CENTER, SHREWSBURY, MA 01545-3540
(508) 792-2991
(508) 799-7681
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19877
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
X12069
BCBS ID #
MA
Enumeration date
09/13/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us