Daniela C. Mallack

General Practice Dentistry · Montclair, NJ

Individual Active NPI

NPI number 1770173700

Practice location

1 Bay Ave
Montclair, NJ 07042-4837
Phone
(973) 429-6888

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NPI record

NPI
1770173700
Entity type
Individual (Type 1)
Enumeration date
January 23, 2021
Last updated
February 5, 2025
Certified
January 30, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 22DI02868001 NJ
Student in an Organized Health Care Education/Training Program 390200000X — —

About Daniela Mallack

Daniela C. Mallack is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1 Bay Ave, Montclair, NJ 07042-4837. The NPI number 1770173700 was assigned on January 23, 2021 and the record was last updated on February 5, 2025.

Daniela Mallack lists a license in the registry: #22DI02868001 (NJ) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Daniela C. Mallack?

The NPI number is 1770173700.

What is the phone number of Daniela Mallack?

The phone number listed for the practice location is (973) 429-6888.

Where is Daniela Mallack located?

1 Bay Ave, Montclair, NJ 07042-4837.

What is the taxonomy code for Daniela Mallack?

The primary taxonomy code is 1223G0001X – General Practice Dentistry; 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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