DR. JOHN RATNAKER MALLYA (NPI# 1942438486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942438486 |
| Entity Type | Individual |
| Full Name | DR. JOHN RATNAKER MALLYA |
| Credential | DMD |
| Practice Address |
579th Dental Squadron Bolling Afb Apo AA 20332 |
| Mailing Address |
2001 Richard Dr Broomall PA 19008-2742 |
| Practice Telephone | 4842669537 |
| Mailing Telephone | 4844617169 |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2009-06-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DS037936 | PA | Dental Providers |
| Street Address |
579TH DENTAL SQUADRON BOLLING AFB |
| City | APO |
| State | AA |
| Zip Code | 20332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275544405 | John Lloyd Chitwood | Physician Assistant | 238 Brookley Avenue, Bolling Afb, DC 20332 | 2006-08-11 |
| 1710180229 | Hye Yong Choe | Student in an Organized Health Care Education/Training Program | 238 Brookley Avenue, Bolling Afb, DC 20332 | 2007-06-11 |
| 1023170263 | Alan T Smith | Dentist | 238 Brookley Ave, Bolling Afb, DC 20332 | 2006-12-14 |
| 1073591285 | Diane Ruth Smith | Nurse Practitioner | 238 Brookley Ave., Bolling Afb, DC 20332-0001 | 2006-01-06 |
| 1841291937 | Mark Edward Mavity | Preventive Medicine | 11 Medical Group, 238 Brookley Avenue, Bolling Afb, DC 20332-0001 | 2005-08-10 |
| 1699776880 | James R Abbott | Family Medicine | 238 Brookley Ave, Bolling Afb, DC 20332-0001 | 2005-08-10 |
| 1497727515 | Erik John Meyers | Dentist | 238 Brookley Ave, Bolling Afb, Washington, DC 20332-0001 | 2006-02-02 |
| 1427036193 | Kurtis Lee Dean | Physician Assistant | 238 Brookley Ave, Bolling Afb, DC 20332-0001 | 2006-01-04 |
| 1114917861 | George J Gerdts | Dentist | 238 Brookley Ave, Bolling Afb, DC 20332-0001 | 2005-10-25 |
| 1326037797 | Jay Christopher Smith | Dentist | 238 Brookley Ave, Ste 214, Bolling Afb, DC 20332-0001 | 2005-10-19 |
| Find all providers in zip 20332 | ||||
| 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 |
|---|---|---|---|---|
| 1174134662 | Lucas Pepper | Dentist | Desert Storm Ave, Bldg 5580, Apo, AA 42223 | 2020-08-10 |
| 1831708411 | Troy Nathan Thayer | Dentist | 1065 W Perimeter Rd J, Joint Base Andrews Air Force Base, Apo, AE 20732 | 2020-07-29 |
| 1891311379 | Jonathan Frederick Weaver | Dentist | Headquarters United States Army Dental Health Activity, 4323 Hill Street, Apo, AA 29207-6022 | 2020-06-22 |
| 1457975583 | Connor English | Dentist | Carius Dental Clinic Bldg#p3020, Apo, AP 96205-5244 | 2020-06-04 |
| 1275162877 | Gabi Im | Dentist | 1065 W Perimeter Rd., Joint Base Andrews, Apo, AA 20762 | 2020-04-06 |
| 1730735770 | Kai Steven Hatch | Dentist | 72nd and Support Building 33026, 1st Medical Brigade, Apo, AA 76544 | 2019-08-15 |
| 1265093017 | Corby M Dixon | Dentist | Landstul Dental Health Activity, Bldg 3703, Rm 205, Apo, AE 09180 | 2019-06-24 |
| 1851950026 | Erin Leigh Baldridge | Dentist | Joint Base Langley Eustis Dental Clinic, 76 Nealy Ave, Apo, AA 23665 | 2019-06-11 |
| 1972082451 | Mark Rutledge Mcshane | Dentist | 618th Dental Company (as), Usa Dentac-korea Unit #15660 Bldg # P 3020, Apo, AP 96271-5660 | 2018-08-07 |
| 1780163220 | Gina Wooyoung Paik | Dentist | Hq, 618th Dcas/dentac, Korea, Unit 15652, Apo, AP 96271 | 2018-08-07 |
| Find all providers in APO | ||||
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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.