Malkemus, Charles M

Malkemus, Charles M is an sole proprietor health care provider with primary practice located at 166 Columbia Rd , Dorchester MA 02121-3411. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Malkemus, Charles M can be contacted via phone (617) 445-9880.

Contact Information

Primary practice address
166 Columbia Rd Dorchester MA 02121-3411
Fax: (617) 445-5746
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X MA11207 Massachusetts

Profile Details

NPI number 1083724090
LBN Legal business name Malkemus, Charles M
Credentials DDS, JD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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