IndividualActive
John Mullally, DDS
NPI 1164541892 · Endodontics · Lutherville, MD
Provider details
- NPI number
- 1164541892
- Entity type
- Individual
- Primary specialty
- EndodonticsDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 12805 (MD)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1407 York Rd Ste 210
Lutherville, MD 21093-6042
Phone: (410) 821-5553
Fax: (410) 825-7213
Street-level locationGet directions
Mailing address
1407 York Rd Ste 210
Lutherville, MD 21093-6042
Registry dates
- Enumerated
- 2007-03-27
- Last updated
- 2019-02-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.