Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLES M MALLOY, DMD
Active Sole ProprietorCHARLES M MALLOY, DMD is a Pediatric Dentistry healthcare provider located in PORTLAND, Oregon. NPI 1831274406 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · PORTLAND, OR
Registration Details
- NPI Number
- 1831274406
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 25, 2006 (19.813777479052 yrs)
- Last Updated
- Jul 16, 2014
- License
-
D7264 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2730 SW MOODY AVENUEPORTLAND, OR, 972015042Browse OR providers · Browse ZIP 97201
- Phone
- 5034944316
- Fax
- 5034942365
- Primary Specialty
-
Pediatric Dentistry
1223P0700X
Other Pediatric Dentistry Providers in PORTLAND, OR
| Name | Credential | NPI |
|---|---|---|
| DR. WENYI JIA | DDS MS | 1942294954 |
| DR. NADER M RASSOULI | BS DDS MS | 1598755647 |
| DR. CRAIG JEFFREY LING | DDS | 1699797076 |
| DR. DAVID RUSSELL HILL | DDS | 1831113646 |
| DR. SAMEH EL-EBRASHI | BDS MS PC | 1760494587 |
| DR. LEON KIRK GARDNER | D.D.S. | 1598863292 |
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.