Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RANDALL O. MALLETT, D.D.S.
ActiveDR. RANDALL O. MALLETT, D.D.S. is a Dentist healthcare provider located in STOCKTON, California. NPI 1467574400 is currently active in the NPPES registry. Verify at CMS.
Dentist · STOCKTON, CA
Registration Details
- NPI Number
- 1467574400
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 3, 2007 (19.358331501293 yrs)
- Last Updated
- Mar 27, 2013
- License
-
D28197 (CA)
Practice Information
- Address
-
3414 BROOKSIDE RD STE 200STOCKTON, CA, 952191786Browse CA providers · Browse ZIP 95219
- Phone
- 2094751100
- Fax
- 2094751166
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in STOCKTON, CA
| Name | Credential | NPI |
|---|---|---|
| DR. LESTER H LOW | DDS | 1841293669 |
| RONALD A WIHLIDAL | DDS | 1154314995 |
| MAYWELL LYNN LEONES INONG | D.D.S. | 1992798342 |
| EDITH I MORA | DMD | 1720047608 |
| EBRAHIM SHAFIEHA | DDS | 1043257322 |
| NGUYET MINH NGUYEN | DDS | 1265440127 |
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.