MALLORY KATHERINE VUKOVIC
NPI 1124767843
Dentist in Randolph, MA

Active since June 01, 2022
96 N MAIN ST, RANDOLPH, MA 02368(781) 805-3001 Get Directions Write a Review

NPPES record last updated: September 10, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 10, 2024, Aug 11, 2022 (2 updates tracked since 2022).

About Mallory Katherine Vukovic NPPES

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

MALLORY KATHERINE VUKOVIC (NPI 1124767843) is an individual dentist in Randolph, Massachusetts, licensed in Massachusetts (DN1859459) and active in the NPI registry since June 2022. She maintains a secondary practice location in Dorchester.

NPPES Registry Identity

NPI1124767843
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameMALLORY KATHERINE VUKOVIC
Location Address96 N MAIN STRandolph, MA 02368-4606
Mailing Address428 W 2nd St Apt 2Boston, MA 02127-1376
Sole ProprietorNo
Enumeration DateJune 1, 2022
Last NPPES UpdateSeptember 10, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2024
NPI 1124767843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in MA · DN1859459
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

96 N MAIN ST, Randolph, MA 02368

Secondary Practice Location 1

Location 197 Neponset AveDorchester, MA 02122-3322 · Phone (617) 265-6556

Accepted Insurance

Other Providers at the Same Location NPPES 3

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

Dentist
96 N MAIN ST
RANDOLPH, MA 02368
Dentist
96 N MAIN ST
RANDOLPH, MA 02368
Dentist (General Practice)
96 N MAIN ST
RANDOLPH, MA 02368

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 Mallory Vukovic's NPI number?

The NPI number for Mallory Vukovic is 1124767843. It was assigned to this individual provider in the NPPES registry on June 1, 2022.

Where is Mallory Vukovic located?

Mallory Vukovic practices at 96 N Main St, Randolph, MA 02368. The listed phone number is (781) 805-3001.

What is Mallory Vukovic's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Mallory Vukovic accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Mallory Vukovic as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mallory Vukovic was last updated on September 10, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.