DR. JOHN WALTHER MULLALLY (NPI# 1124102538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124102538 |
| Entity Type | Individual |
| Full Name | DR. JOHN WALTHER MULLALLY |
| Credential | DDS |
| Practice Address |
513 Seminole Rd Muskegon MI 49444 |
| Mailing Address |
513 Seminole Road Muskegon MI 49444 |
| Practice Telephone | 2317376453 |
| Practice Fax Number | 2317371119 |
| Mailing Telephone | 2317376453 |
| Mailing Fax Number | 2317371119 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 9633 | MI | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4016930 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164541892 | John Gordon Mullally | Dentist | 1407 York Rd Ste 210, Lutherville, MD 21093-6042 | 2007-03-27 |
| 1033105630 | John Patrick Mullally | Family Medicine | 1117 Stone St, Suite 2, Port Huron, MI 48060 | 2005-09-20 |
| Street Address |
513 SEMINOLE RD |
| City | MUSKEGON |
| State | MI |
| Zip Code | 49444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902011208 | Patrick Joseph Mullally | Dentist | 513 Seminole Rd, Muskegon, MI 49444-3719 | 2007-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073084349 | Cathy Forrest, Ma, LLP Plc | Psychologist | 255 Seminole Road, Suite-205, Muskegon, MI 49444 | 2018-12-16 |
| 1831687276 | Sarah J Weiden | Massage Therapist | 1040 E Sternberg Rd, Muskegon, MI 49444 | 2018-04-30 |
| 1184131500 | Hatem M Gelani Sr. | Dentist | 1725 E Sherman Blvd, Muskegon, MI 49444 | 2018-01-08 |
| 1497123673 | Rite Aid | Pharmacist | 2213 E Hile Road, Muskegon, MI 49444 | 2015-09-04 |
| 1689077075 | Rosa Carpenter-parker | Counselor | 445 East Sherman, Muskegon, MI 49444 | 2014-09-30 |
| 1417373036 | Smile Center Pllc | Dentist | 3500 Park Street, Smile Center Pllc, Muskegon, MI 49444 | 2014-03-06 |
| 1134460439 | Adam L Powell | Physical Medicine & Rehabilitation | 1675 E Mount Garfield Rd, Muskegon, MI 49444 | 2013-03-12 |
| 1972847135 | Kristen Haugh | Physical Therapist | 5251 Harvey St Ste 100, Norton Shores, MI 49444 | 2012-11-12 |
| 1912261694 | Brandon D Freel | Obstetrics & Gynecology | 6401 Prairie St Ste 2100, Norton Shores, MI 49444 | 2012-06-27 |
| 1437434487 | Amy Stegall | Pharmacist | 1171 E Sherman, Norton Shores, MI 49444 | 2011-10-20 |
| Find all providers in zip 49444 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134745169 | Justin Park Terry | Dentist | 1590 W Sherman Blvd, Muskegon, MI 49441-3543 | 2020-06-25 |
| 1659880961 | Northshore Dental Associates P.C. | Dentist | 1179 Whitehall Road, Suite A, Muskegon, MI 49445 | 2017-09-29 |
| 1649653817 | Jessica Marie Lambert | Dentist | 5978 Harvey St., Muskegon, MI 49441 | 2015-07-06 |
| 1417373036 | Smile Center Pllc | Dentist | 3500 Park Street, Smile Center Pllc, Muskegon, MI 49444 | 2014-03-06 |
| 1881736353 | Ronald John Komarek | Dentist | 1704 Sherman Blvd, Muskegon, MI 49441-5371 | 2007-02-13 |
| 1578602397 | Eric David Stawski | Dentist | 1634 Holton Road, Muskegon, MI 49445 | 2007-02-06 |
| 1306902937 | James S Dehudy Dds Plc | Dentist | 3579 Henry Street, Muskegon, MI 49441 | 2006-12-28 |
| 1942378997 | Shelly Lynn Reilly | Dentist | 5978 Harvey St, Muskegon, MI 49444-9737 | 2006-11-30 |
| 1194894253 | Randy Kovicak | Dentist | 935 W Norton Ave, Muskegon, MI 49441-4195 | 2006-11-06 |
| 1548357411 | Gary Lukkari | Dentist | 2267 E Apple Ave, Muskegon, MI 49442-4368 | 2006-10-10 |
| Find all providers in MUSKEGON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.