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Organization

JOHN J. MALONEY, JR. D.D.S.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN J MALONEY JR. D.D.S. (OWNER)
(603) 474-9506
Entity
Organization

Contact information

Practice address
4 LAKE SHORE DR, SEABROOK, NH 03874-4028
(603) 474-9506
(603) 474-7138
Mailing address
4 LAKESHORE DR, PO BOX 1270, SEABROOK, NH 03874-4028
(603) 474-9506
(603) 474-7138

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1862
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1174567358
NPI FOR DR. MALONEY
NH
01
1862
LICENCE NO. & DELTA ID#
NH
01
844366
OTHER PROVIDER
NH
05
89192106
NH
01
X12454
BLUE CROSS BLUE SHIELD MA
MA
Enumeration date
05/16/2007
Last updated
08/22/2020
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