Provider Demographics
NPI:1245409671
Name:DAVID B MALIN DDS
Entity Type:Organization
Organization Name:DAVID B MALIN DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:BEN
Authorized Official - Last Name:MALIN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:336-629-3131
Mailing Address - Street 1:300 FOUST ST
Mailing Address - Street 2:
Mailing Address - City:ASHEBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27203-5406
Mailing Address - Country:US
Mailing Address - Phone:336-629-3131
Mailing Address - Fax:
Practice Address - Street 1:300 FOUST ST
Practice Address - Street 2:
Practice Address - City:ASHEBORO
Practice Address - State:NC
Practice Address - Zip Code:27203-5406
Practice Address - Country:US
Practice Address - Phone:336-629-3131
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-29
Last Update Date:2008-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC60591223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty