Dr. John Gordon Mullally
Endodontist
1407 York Rd Ste 210
Lutherville
, Maryland 21093-6042
Dr. John Gordon Mullally
Endodontist
1407 York Rd Ste 210
Lutherville
, Maryland 21093-6042
(410) 825-7213
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About
Features
Specialties
- Endodontist
Languages spoken
- English
Location
First Address
- Dr. John Gordon Mullally
- 1407 York Rd Ste 210
- Lutherville, MD
- Zip : 21093-6042
- Fax : (410) 825-7213
- Phone : (410) 821-5553
Second Address
- Dr. John Gordon Mullally
- 1407 York Rd Ste 210
- Lutherville, MD
- Zip : 21093-6042
- Fax : (410) 825-7213
- Phone : (410) 821-5553
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223E0200X | Endodontist | 12805 | MD |
National Provider Identifier
| NPI | 1164541892 |
|---|---|
| Provider Name | Dr. John Gordon Mullally |
| First Address | Lutherville, MD 21093-6042 |
| Second Address | Lutherville, MD 21093-6042 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/03/2007 |
| Last Update Date | 05/02/2019 |
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.