Individual
DANIEL MAGALNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
6 ESSEX CENTER DR, SUITE 112, PEABODY, MA 01960-2910
(978) 531-1450
(978) 531-9984
Mailing address
6 ESSEX CENTER DR, SUITE 112, PEABODY, MA 01960-2910
(978) 531-1450
(978) 531-9984
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
13222
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0261475
—
MA
01
—
16303
PILGRIM
MA
01
—
41946
HP-MELROSE
MA
01
—
709518
TUFTS
MA
01
—
AA58597
HP-NBPT
MA
01
—
V05676
BCBS MELROSE
MA
01
—
V06392
BCBS NBPT
MA
01
—
X04063
BCBS
MA
Enumeration date
11/04/2005
Last updated
04/13/2010
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