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Ann O. Malotky

Dentist

Dental Providers

1800 Buenaventura Blvd., Redding, CA 96001-0184

PECOS Enrollment

This provider is enrolled in PECOS as ANN MALOTKY.

Based on the most recent information from CMS, provider Ann O. Malotky is legally eligible to order and refer claims for Part B, HHA and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1093858813
Provider Type
Individual
Full Name
Malotky, Ann O.
Title
Dr.
Credential
D.D.S.

Gender
Female
Sole Proprietor
Yes
Enumeration Date
2/14/2007
Last Updated
7/27/2011

Contact Information

Practice Location

1800 Buenaventura Blvd., Redding, CA 96001-0184

(530) 243-8806

Unlisted Fax

Mailing Location

1800 Buenaventura Blvd., Redding, CA 96001-0184

(530) 243-8806

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 122300000X Primary	Description Dentist Dental Providers	License 032442 California

Ann O. Malotky

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Golles, Dee Eugene

Ahmad, Zain

Ann Malotky, Dds., Inc.

Flores Lavenant, Carlos

Chung, Peter J

Pierce, Franklin

Guerin, Shawn

Orlando & Sorrick Dental Group

Mallari, Hermes Bustos

Craig E. Fowers,Dds,Apc