Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICHOLAS TALBERT MALLORY, DMD
Active Sole ProprietorNICHOLAS TALBERT MALLORY, DMD is a General Dentistry healthcare provider located in EAGAR, Arizona. NPI 1851950588 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · EAGAR, AZ
Registration Details
- NPI Number
- 1851950588
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 6, 2019 (7.2049287146024 yrs)
- Last Updated
- Jun 6, 2019
- License
-
D010324 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
133 W CENTRAL AVEEAGAR, AZ, 85925Browse AZ providers · Browse ZIP 85925
- Phone
- 9283334121
- Primary Specialty
-
General Dentistry
1223G0001X
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.