Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1124767843 Individual Practitioner Female Practitioner

Mallory Katherine Vukovic

Dentist • Randolph, MA

Professional Overview & Biography Verified Profile Summary

Mallory Vukovic is a registered healthcare professional specializing in Dentist in Randolph, MA. Practice services are available at 96 N MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

96 N Main St

Randolph, MA 023684606

Telephone 7818053001
Associated Practice Facility / Clinic
🏢 Randolph Dental Group Llc Facility NPI 1801440656

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Randolph, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.4 Yrs
Regional Practice Density
12 Specialists

Practicing in Randolph, MA (3030 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-09-10
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License MA DN1859459

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Secondary Practice Locations

97 Neponset Ave

Dorchester, MA 021223322

Phone: 6172656556

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1043818404

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location September 10, 2024

Registered at 96 N MAIN ST, RANDOLPH, MA 023684606 (Tel: 7818053001)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 10, 2024

Dentist (License #DN1859459 in MA)

📍
Updated Practice Location February 01, 2024

Registered at 97 NEPONSET AVE, DORCHESTER, MA 021223322 (Tel: 6172656556)

NPI Profile Active June 01, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location June 01, 2022

Registered at 1 KNEELAND ST, BOSTON, MA 021111527 (Tel: 6176125248)

📍
Updated Business Mailing Address June 01, 2022

Registered at 428 W 2ND ST APT 2, BOSTON, MA 021271376

👤
Provider Name / Credentials Updated June 01, 2022

Recorded as MALLORY VUKOVIC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 01, 2022

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration June 01, 2022

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: 1124767843
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 01, 2022
Last Update: September 10, 2024
Sole Proprietor: No

Mailing Address

428 W 2nd St Apt 2

Boston, MA 021271376

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.