Dr Thomas Leo Mullooly, DDS - Dentist in South San Francisco, CA

Dr Thomas Leo Mullooly, DDS is a Dentist - General Practice based in South San Francisco, California. Dr Thomas Leo Mullooly is licensed to practice in California (license number 19127) and his current practice location is 3550 Callan Blvd, South San Francisco, California. He can be reached at his office (for appointments etc.) via phone at (650) 873-6681.

NPI number for Dr Thomas Leo Mullooly is 1225172463 and his current mailing address is 3550 Callan Blvd, South San Francisco, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1225172463.

Contact Information

Dr Thomas Leo Mullooly, DDS
3550 Callan Blvd,
South San Francisco, CA 94080-5117
(650) 873-6681
(650) 873-1080



Healthcare Provider's Profile

Full NameDr Thomas Leo Mullooly
GenderMale
SpecialityDentist - General Practice
Location3550 Callan Blvd, South San Francisco, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1225172463
  • Provider Enumeration Date: 02/19/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Thomas Leo Mullooly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225172463NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 19127 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Thomas Leo Mullooly is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Thomas Leo Mullooly, DDS
3550 Callan Blvd,
South San Francisco, CA 94080-5117

Ph: (650) 873-6681
Dr Thomas Leo Mullooly, DDS
3550 Callan Blvd,
South San Francisco, CA 94080-5117

Ph: (650) 873-6681

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