Mallory Katherine Vukovic

Dentist · Randolph, MA

Individual Active NPI

NPI number 1124767843

Practice location

96 N Main St
Randolph, MA 02368-4606
Phone
(781) 805-3001

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NPI record

NPI
1124767843
Entity type
Individual (Type 1)
Enumeration date
June 1, 2022
Last updated
September 10, 2024
Certified
September 10, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X DN1859459 MA
Student in an Organized Health Care Education/Training Program 390200000X — —

Mailing address

428 W 2ND St Apt 2
Boston, MA 02127-1376

Other practice locations (1)

  • 97 Neponset Ave, Dorchester, MA 02122-3322 · (617) 265-6556

About Mallory Vukovic

Mallory Katherine Vukovic is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 96 N Main St, Randolph, MA 02368-4606. The NPI number 1124767843 was assigned on June 1, 2022 and the record was last updated on September 10, 2024.

Mallory Vukovic lists a license in the registry: #DN1859459 (MA) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mallory Katherine Vukovic?

The NPI number is 1124767843.

What is the phone number of Mallory Vukovic?

The phone number listed for the practice location is (781) 805-3001.

Where is Mallory Vukovic located?

96 N Main St, Randolph, MA 02368-4606.

What is the taxonomy code for Mallory Vukovic?

The primary taxonomy code is 122300000X – Dentist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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