Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. STEPHEN C MALLOW, DDS
Active Sole ProprietorDR. STEPHEN C MALLOW, DDS is a Dentist healthcare provider located in UPPER TRACT, West Virginia. NPI 1720185523 is currently active in the NPPES registry. Verify at CMS.
Dentist · UPPER TRACT, WV
Registration Details
- NPI Number
- 1720185523
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 20, 2006 (19.911351028087 yrs)
- Last Updated
- Aug 19, 2015
- License
-
2529 (WV)
- Sole Proprietor
- Yes
Practice Information
- Address
-
8791 PETERSBUG PIKEUPPER TRACT, WV, 268668016Browse WV providers · Browse ZIP 26866
- Phone
- 3043587200
- Fax
- 3043587284
- Primary Specialty
-
Dentist
122300000X
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.