Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Abdulaziz Mallik, DDS

Individual provider Endodontics · NPI 1962076539

Dr. Abdulaziz Mallik, DDS is an Endodontics in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania and Virginia.

Licensed in
PA, VA
In the registry since
2021
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

240 S 40th St
Philadelphia, PA 19104-6030
Phone: (804) 393-8782
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 0401417346 (VA)
Endodontics Taxonomy 1223E0200X · Licence DS044851 (PA)

Record details

NPI number1962076539
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedMay 18, 2021
Last updated in NPPESDecember 10, 2024
Certification dateDecember 10, 2024
Mailing address520 N 12th St, Richmond, VA 23298-5064

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