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

DR. MALLORY JANE HACKBARTH, DMD

Active Sole Proprietor

DR. MALLORY JANE HACKBARTH, DMD is a Endodontics healthcare provider located in FORT MILL, South Carolina. NPI 1265880470 is currently active in the NPPES registry. Verify at CMS.

Endodontics · FORT MILL, SC

Registration Details

NPI Number
1265880470
Provider Type
Individual
Gender
Female
NPI Issued
May 27, 2016 (10.173389021208 yrs)
Last Updated
Dec 3, 2024
Licenses
10831 (SC)
10500 (TN)
Sole Proprietor
Yes

Practice Information

Address
105 BEN CASEY DR STE 121
FORT MILL, SC, 297088574
Browse SC providers · Browse ZIP 29708
Phone
8038023681
Primary Specialty
Endodontics
1223E0200X
Additional Specialty
Endodontics
Additional Specialty
General Dentistry

Other Endodontics Providers in FORT MILL, SC

Name Credential NPI
MAHMOUD KARIMIPOUR D.M.D. 1548325236
DR. NATHAN EDWARD BEAM D.D.S. 1104054550
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.