Provider Demographics
NPI:1427910041
Name:MICHAEL B. MULLANY D.M.D. P.C.
Entity type:Organization
Organization Name:MICHAEL B. MULLANY D.M.D. P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:BURKE
Authorized Official - Last Name:MULLANY
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:413-429-1133
Mailing Address - Street 1:16 PLEASANT ST
Mailing Address - Street 2:
Mailing Address - City:GREAT BARRINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:01230-1325
Mailing Address - Country:US
Mailing Address - Phone:413-528-0884
Mailing Address - Fax:
Practice Address - Street 1:16 PLEASANT ST
Practice Address - Street 2:
Practice Address - City:GREAT BARRINGTON
Practice Address - State:MA
Practice Address - Zip Code:01230-1325
Practice Address - Country:US
Practice Address - Phone:413-528-0884
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-12-02
Last Update Date:2025-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty