Dr. Andy J Malcolm
Pediatric Dentist
163 Cadillac Ct Suite 3
Belvidere
, Illinois 61008-1737
Dr. Andy J Malcolm
Pediatric Dentist
163 Cadillac Ct Suite 3
Belvidere
, Illinois 61008-1737
(815) 544-0922
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About
Features
Specialties
- Pediatric Dentist
Languages spoken
- English
Location
First Address
- Dr. Andy J Malcolm
- 163 Cadillac Ct Suite 3
- Belvidere, IL
- Zip : 61008-1737
- Fax : (815) 544-0922
- Phone : (815) 544-0909
Second Address
- Dr. Andy J Malcolm
- 163 Cadillac Ct Suite 3
- Belvidere, IL
- Zip : 61008-1737
- Fax : (815) 544-0922
- Phone : (815) 544-0909
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0221X | Pediatric Dentist | IL |
National Provider Identifier
| NPI | 1033207089 |
|---|---|
| Provider Name | Dr. Andy J Malcolm |
| First Address | Belvidere, IL 61008-1737 |
| Second Address | Belvidere, IL 61008-1737 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/10/2006 |
| Last Update Date | 27/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.