Dr John Gordon Mullally, DDS in Lutherville, MD

Dr John Gordon Mullally, DDS is a medicare enrolled "Dentist - Endodontics" provider in Lutherville, Maryland. His current practice location is 1407 York Rd Ste 210, Lutherville, Maryland. You can reach out to his office (for appointments etc.) via phone at (410) 821-5553.

Dr John Gordon Mullally is licensed to practice in Maryland (license number 12805) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1164541892.

Contact Information

	Dr John Gordon Mullally, DDS
	1407 York Rd Ste 210, Lutherville, MD 21093-6042
	(410) 821-5553
	(410) 825-7213

Map and Direction

Healthcare Provider's Profile

Full Name	Dr John Gordon Mullally
Gender	Male
Speciality	Dentist - Endodontics
Location	1407 York Rd Ste 210, Lutherville, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164541892
Provider Enumeration Date: 03/27/2007
Last Update Date: 02/05/2019

Medicare PECOS Information:

PECOS PAC ID: 3678898301
Enrollment ID: I20150220001379

Medical Identifiers

Medical identifiers for Dr John Gordon Mullally such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164541892	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223E0200X	Dentist - Endodontics	12805 (Maryland)	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 John Gordon Mullally is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr John Gordon Mullally, DDS 1407 York Rd Ste 210, Lutherville, MD 21093-6042 Ph: (410) 821-5553	Dr John Gordon Mullally, DDS 1407 York Rd Ste 210, Lutherville, MD 21093-6042 Ph: (410) 821-5553

Reviews and Comments

Dentist in Lutherville, MD

Dr. William John Mislowsky, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1134 York Road, #209, Lutherville, MD 21093 Phone: 410-321-8837 Fax: 410-321-6734
Dr. Michael J Riger, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2324 W Joppa Rd, Suite 430, Lutherville, MD 21093 Phone: 410-321-0505
Dr. Judy Yudita Melamed, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 1407 York Rd Ste 210, Lutherville, MD 21093 Phone: 410-821-5553 Fax: 410-825-7213
Pamela Otto I, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1407 York Rd, Suite212, Lutherville, MD 21093 Phone: 410-337-8200 Fax: 410-337-9026
Dr. Mary F Bean, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 1212 York Rd, Suite A 301, Lutherville, MD 21093 Phone: 410-828-7154 Fax: 410-821-7154
Dr. Tontesh Shivakumar Tawady, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 1206 York Rd, Suite 200, Lutherville, MD 21093 Phone: 410-821-5553 Fax: 410-825-7213

Dr John Gordon Mullally, DDS - Medicare Dentist in Lutherville, MD