Provider Demographics
NPI:1518535756
Name:MULLANY DENTISTRY PLLC
Entity Type:Organization
Organization Name:MULLANY DENTISTRY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVIS
Authorized Official - Middle Name:
Authorized Official - Last Name:MULLANY
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:781-934-2120
Mailing Address - Street 1:10 ENTERPRISE ST STE 7
Mailing Address - Street 2:
Mailing Address - City:DUXBURY
Mailing Address - State:MA
Mailing Address - Zip Code:02332-3315
Mailing Address - Country:US
Mailing Address - Phone:781-934-2120
Mailing Address - Fax:
Practice Address - Street 1:10 ENTERPRISE ST STE 7
Practice Address - Street 2:
Practice Address - City:DUXBURY
Practice Address - State:MA
Practice Address - Zip Code:02332-3315
Practice Address - Country:US
Practice Address - Phone:781-934-2120
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-14
Last Update Date:2021-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental