DR. SHIBLY D MALOUF JR. DDS
NPI 1053489682
Dentist - Oral and Maxillofacial Surgery in Somerville, MA

Active since December 01, 2006
366 BROADWAY, SUITE 100, SOMERVILLE, MA 02145(617) 628-8000(617) 628-2370 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Shibly D Malouf Jr. Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SHIBLY D MALOUF JR. DDS (NPI 1053489682) is an individual oral and maxillofacial surgery provider in Somerville, Massachusetts, licensed in Massachusetts (9637) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1053489682
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. SHIBLY D MALOUF JR.Credential: DDS
Location Address366 BROADWAY, SUITE 100Somerville, MA 02145-2812
Mailing Address366 Broadway Suite 100Somerville, MA 02145-2812 · (617) 628-8000 · Fax (617) 628-2370
Fax(617) 628-2370
Sole ProprietorNo
Enumeration DateDecember 1, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1053489682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in MA · 9637
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
366 BROADWAY, Somerville, MA 02145

Other Identifiers 5

OtherY03044MA · Bs
Medicaid0223573MA
Other009637Tufts
Medicare UPINT56499
Medicare ID-Type UnspecifiedX03044

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
366 BROADWAY, SUITE 202
SOMERVILLE, MA 02145
Dentist (General Practice)
366 BROADWAY, 202
SOMERVILLE, MA 02145

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shibly Malouf's NPI number?

The NPI number for Shibly Malouf is 1053489682. It was assigned to this individual provider in the NPPES registry on December 1, 2006.

Where is Shibly Malouf located?

Shibly Malouf practices at 366 Broadway Suite 100, Somerville, MA 02145. The listed phone number is (617) 628-8000.

What is Shibly Malouf's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Shibly Malouf was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.