Individual
DR. DENNIE L MALONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
30 NORTHFIELD DR, BRIDGEWATER, MA 02324-1249
(203) 788-4052
Mailing address
30 NORTHFIELD DR, BRIDGEWATER, MA 02324-1249
(203) 788-4052
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
6219
CT
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN1855360
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002062198
—
CT
Enumeration date
05/02/2006
Last updated
06/21/2021
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