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

CHARLES BRENT MALLIN, D.D.S.

Active Sole Proprietor

CHARLES BRENT MALLIN, D.D.S. is a General Dentistry healthcare provider located in CLAYTON, Missouri. NPI 1750573960 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · CLAYTON, MO

Registration Details

NPI Number: 1750573960
Provider Type: Individual
Gender: Male
NPI Issued: Aug 11, 2007 (19.023886485515 yrs)
Last Updated: Aug 11, 2007
License: 11962 (MO)
Sole Proprietor: Yes

Practice Information

Address: 8000 BONHOMME AVE STE 401

SUITE 401

CLAYTON, MO, 631053515
Browse MO providers · Browse ZIP 63105
Phone: 3147272288
Fax: 3147272285
Primary Specialty: General Dentistry
1223G0001X

Other General Dentistry Providers in CLAYTON, MO

Name	Credential	NPI
DR. THOMAS L. FARMER	D.M.D.	1538138334
MRS. WINSOME A HENRY-WARD	DMD	1811904949
DR. JEROME MILTON MAYER	DDS	1699880922
BENJAMIN F DAVIS	DDS	1932215159
DR. RICHARD ALLEN BERNSTEIN	D.D.S.	1285746701
WILLIAM HAROLD PETERSON	DMD	1245300854

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.