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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. SUSAN REGINA MALLERY, DDS

Active

DR. SUSAN REGINA MALLERY, DDS is a Orthodontics & Dentofacial Orthopedics healthcare provider located in COLUMBUS, Ohio. NPI 1083688865 is currently active in the NPPES registry. Verify at CMS.

Orthodontics & Dentofacial Orthopedics · COLUMBUS, OH

Registration Details

NPI Number
1083688865
Provider Type
Individual
Gender
Female
NPI Issued
Feb 16, 2006 (20.464272357718 yrs)
Last Updated
Mar 8, 2012
License
30016966 (OH)

Practice Information

Address
305 W 12TH AVE
COLLEGE OF DENTISTRY OHIO STATE UNIVERSITY
COLUMBUS, OH, 432101267
Browse OH providers · Browse ZIP 43210
Phone
6142925892
Fax
6142929384
Primary Specialty
Orthodontics & Dentofacial Orthopedics
1223P0106X

Other Orthodontics & Dentofacial Orthopedics Providers in COLUMBUS, OH

Name Credential NPI
DR. MARK G. HOCHBERG D.M.D. 1861478398
DR. CHRISTINE HARRINGTON DDS, MS 1649239625
DR. JOHN R. KALMAR 1952464109
DR. BRUCE ALLEN FRASER DDS, MS 1225177033
DR. KRISTIN KAY MCNAMARA D.D.S. 1366659658
DR. KELLY LYNN PODLOSKY D.D.S 1427257401
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.