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Active NPI 1477797835 Individual Practitioner Female Practitioner

Dr. Kamelia Khalil Mallak , DDS

Dentist • Long Beach, CA

Professional Overview & Biography Verified Profile Summary

Dr. Kamelia Mallak, DDS is a registered healthcare professional specializing in Dentist in Long Beach, CA. Practice services are available at 3943 E ANAHEIM STREET under active NPI credentials.

Frequently performed procedures and clinical services include simple drainage of abscess, cyst, or blood accumulation of mouth, repair of nasal or cheek bone with bone graft, repair of lower jaw bone with bone graft. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3943 E Anaheim Street

Long Beach, CA 90804

Telephone 5625974500
Fax 5624947334
Associated Practice Facility / Clinic
🏢 Kamelia Mallak Dds, Inc Facility NPI 1285079129

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Long Beach, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.0 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
142 Specialists

Practicing in Long Beach, CA (15331 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
71.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
40800 Simple drainage of abscess, cyst, or blood accumulation of mouth
33 16 $500.00 $121.04
21210 Repair of nasal or cheek bone with bone graft
23 12 $6000.00 $1748.46

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License CA 58207

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License CA 58207

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1033794953

Doctor of Dental Medicine

Dr. James Tavernakis , DDS

Dentist - General Practice

NPI 1831234426

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 07, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location May 07, 2013

Registered at 3943 E ANAHEIM STREET, LONG BEACH, CA 90804 (Tel: 5625974500)

📍
Updated Business Mailing Address May 07, 2013

Registered at 3943 E ANAHEIM STREET, LONG BEACH, CA 90804 (Tel: 5625974500)

👤
Provider Name / Credentials Updated May 07, 2013

Recorded as KAMELIA MALLAK, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 07, 2013

Dentist (License #58207 in CA)

🟢
Initial NPI Registration & Enumeration April 28, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1477797835
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 28, 2009
Last Update: May 07, 2013
Sole Proprietor: No

Mailing Address

3943 E Anaheim Street

Long Beach, CA 90804

Phone: 5625974500

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.