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

Mallory Katherine Vukovic

Individual provider Dentist · NPI 1124767843

Mallory Katherine Vukovic is a Dentist in Randolph, Massachusetts. Works from 2 locations. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2022
Specialties on file
2

Practice location Address checks out

96 N Main St
Randolph, MA 02368-4606
Phone: (781) 805-3001
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 97 Neponset Ave, Dorchester, MA 02122-3322 — (617) 265-6556

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN1859459 (MA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1124767843
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 1, 2022
Last updated in NPPESSeptember 10, 2024
Certification dateSeptember 10, 2024
Mailing address428 W 2nd St Apt 2, Boston, MA 02127-1376

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