Provider Demographics
NPI:1750551909
Name:RICHARD MALECZ, D.M.D.
Entity type:Organization
Organization Name:RICHARD MALECZ, D.M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:MALECZ
Authorized Official - Suffix:
Authorized Official - Credentials:DMD, MBA
Authorized Official - Phone:973-625-4441
Mailing Address - Street 1:35 W MAIN ST
Mailing Address - Street 2:SUITE 203
Mailing Address - City:DENVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07834-2174
Mailing Address - Country:US
Mailing Address - Phone:973-625-4441
Mailing Address - Fax:973-625-4046
Practice Address - Street 1:35 W MAIN ST
Practice Address - Street 2:SUITE 203
Practice Address - City:DENVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07834-2174
Practice Address - Country:US
Practice Address - Phone:973-625-4441
Practice Address - Fax:973-625-4046
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-04
Last Update Date:2008-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ115771223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty