Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1770173700 Individual Practitioner Female Practitioner

Daniela C Mallack

Dentist - General Practice • Montclair, NJ

Professional Overview & Biography Verified Profile Summary

Daniela Mallack is a registered healthcare professional specializing in Dentist - General Practice in Montclair, NJ. Practice services are available at 1 BAY AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1 Bay Ave

Montclair, NJ 070424837

Telephone 9734296888
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Montclair, NJ

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

Practicing in Montclair, 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: 2025-01-30
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License NJ 22DI02868001

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.

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.

Practice Associates & Co-Workers

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

17 Associated Practitioners
Jaclyn Schmitz

Student in an Organized Health Care Education/Training Program

NPI 1003763061
NPI 1013862879
Ashley Hay

Student in an Organized Health Care Education/Training Program

NPI 1124829049
Philip Bacigalupo

Student in an Organized Health Care Education/Training Program

NPI 1205586831
Zacharie Rahhal

Student in an Organized Health Care Education/Training Program

NPI 1295436772
Dr. Erica Chang , DDS

Dentist - General Practice

NPI 1316641947

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 January 23, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location January 23, 2021

Registered at 1 BAY AVE, MONTCLAIR, NJ 070424837 (Tel: 9734296888)

📍
Updated Business Mailing Address January 23, 2021

Registered at 1 BAY AVE, MONTCLAIR, NJ 070424837 (Tel: 9734296888)

👤
Provider Name / Credentials Updated January 23, 2021

Recorded as DANIELA MALLACK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 23, 2021

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration January 23, 2021

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: 1770173700
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 23, 2021
Last Update: February 05, 2025
Sole Proprietor: No

Mailing Address

1 Bay Ave

Montclair, NJ 070424837

Phone: 9734296888

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.