Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1164546669 Individual Practitioner Female Practitioner

Dr. Mary Fares Mallouhi , DDS

Dentist - General Practice • Hackensack, NJ

Professional Overview & Biography Verified Profile Summary

Dr. Mary Mallouhi, DDS is a registered healthcare professional specializing in Dentist - General Practice in Hackensack, NJ. Practice services are available at 394 MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

394 Main St

Hackensack, NJ 076015805

Telephone 2015250067
Fax 2015250070

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Hackensack, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 28.1 Yrs
Regional Practice Density
53 Specialists

Practicing in Hackensack, NJ (4316 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: 2021-01-14
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License NJ DI21703

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0114031 (NJ)

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1649335365

Doctor of Dental Surgery

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location January 14, 2021

Registered at 394 MAIN ST, HACKENSACK, NJ 076015805 (Tel: 2015250067)

📍
Updated Business Mailing Address January 14, 2021

Registered at 394 MAIN ST, HACKENSACK, NJ 076015805 (Tel: 2015250067)

👤
Provider Name / Credentials Updated January 14, 2021

Recorded as MARY MALLOUHI, DDS

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 112 EISENHOWER PKWY, LIVINGSTON, NJ 070394995 (Tel: 9734229399)

📍
Updated Business Mailing Address July 08, 2007

Registered at 112 EISENHOWER PKWY, LIVINGSTON, NJ 070394995

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MAI FARES, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #DI21703 in NJ)

🟢
Initial NPI Registration & Enumeration March 19, 2007

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: 1164546669
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 19, 2007
Last Update: January 14, 2021
Sole Proprietor: No

Mailing Address

394 Main St

Hackensack, NJ 076015805

Phone: 2015250067

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.