Provider Demographics
NPI:1386653046
Name:MALOFF, ARNOLD I (DMD)
Entity Type:Individual
Prefix:DR
First Name:ARNOLD
Middle Name:I
Last Name:MALOFF
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 WINTER ST
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:MA
Mailing Address - Zip Code:01970-3807
Mailing Address - Country:US
Mailing Address - Phone:978-745-6900
Mailing Address - Fax:978-741-3234
Practice Address - Street 1:2 WINTER ST
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:MA
Practice Address - Zip Code:01970-3807
Practice Address - Country:US
Practice Address - Phone:978-745-6900
Practice Address - Fax:978-741-3234
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA140071223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAOTH000Medicare UPIN