Dr Christopher Earl Malloy, DMD is a
Dentist - General Practice based in Weiser, Idaho. Dr Christopher Earl Malloy is licensed to practice in Idaho (license number D1893) and his current practice location is
1067 Hwy 95, Weiser, Idaho. He can be reached at his office (for appointments etc.) via phone at
(208) 549-0838.
NPI number for Dr Christopher Earl Malloy is 1427038231 and his current mailing address is 1071 Hiway 95, Weiser, Idaho. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1427038231.
Healthcare Provider's Profile
| Full Name | Dr Christopher Earl Malloy |
|---|
| Gender | Male |
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| Speciality | Dentist - General Practice |
|---|
| Location | 1067 Hwy 95, Weiser, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1427038231
- Provider Enumeration Date: 01/18/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Christopher Earl Malloy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1427038231 | NPI | - | NPPES |
| 0019569 | Medicaid | ID | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | D1893 (Idaho) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Christopher Earl Malloy is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Christopher Earl Malloy, DMD
1071 Hiway 95,
Weiser, ID 83672-5566
Ph: (208) 549-0838 | Dr Christopher Earl Malloy, DMD
1067 Hwy 95,
Weiser, ID 83672
Ph: (208) 549-0838 |
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