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Active NPI 1194578864 Individual Practitioner Female Practitioner

Dr. Malek Kallel Souayah , DMD, DDS

Dentist - General Practice • Woburn, MA

Professional Overview & Biography Verified Profile Summary

Dr. Malek Kallel Souayah, DMD, DDS is a registered healthcare professional specializing in Dentist - General Practice in Woburn, MA. Practice services are available at 576 MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

576 Main St

Woburn, MA 018017130

Telephone 7819950540
Associated Practice Facility / Clinic
🏢 Ghada S. Massabni Facility NPI 1336317155

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Woburn, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
29 Specialists

Practicing in Woburn, MA (3722 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: 2024-04-10
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MA DN10000009

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

4 Associated Practitioners
Dr. Donald Pettit , MD

Orthopaedic Surgery

NPI 1114076890

Doctor of Medicine (M.D.)

Bianca Fusco , MED, MS, CCC-SLP

Speech-Language Pathologist

NPI 1518606375

Master of Education, Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

NPI 1841948551

LMTCLDCPDCCBECBE

Dr. Ghada Massabni , DMD

Dentist - General Practice

NPI 1861408197

Doctor of Dental Medicine

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active April 10, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location April 10, 2024

Registered at 576 MAIN ST, WOBURN, MA 018017130 (Tel: 7819950540)

📍
Updated Business Mailing Address April 10, 2024

Registered at 14 CHURCH AVE APT 3, WOBURN, MA 018015070 (Tel: 4134373543)

👤
Provider Name / Credentials Updated April 10, 2024

Recorded as MALEK KALLEL SOUAYAH, DMD, DDS

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

Dentist (License #DN10000009 in MA)

🟢
Initial NPI Registration & Enumeration April 10, 2024

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: 1194578864
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 10, 2024
Last Update: April 10, 2024
Sole Proprietor: No

Mailing Address

14 Church Ave Apt 3

Woburn, MA 018015070

Phone: 4134373543

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.