Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PHILLIP KREG MALLOW, DDS
ActiveDR. PHILLIP KREG MALLOW, DDS is a General Dentistry healthcare provider located in BLOOMINGDALE, Illinois. NPI 1952539439 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · BLOOMINGDALE, IL
Registration Details
- NPI Number
- 1952539439
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 23, 2009 (17.14764980254 yrs)
- Last Updated
- Jun 23, 2009
- Licenses
-
019021183 (IL)014961 (MO)
Practice Information
- Address
-
70 STRATFORD DRBLOOMINGDALE, IL, 601082201Browse IL providers · Browse ZIP 60108
- Phone
- 6308935253
- Fax
- 6308931265
- Primary Specialty
-
General Dentistry
1223G0001X
- Additional Specialty
- General Dentistry
Other General Dentistry Providers in BLOOMINGDALE, IL
| Name | Credential | NPI |
|---|---|---|
| DR. TOM JOSEPH MILLER | DDS | 1619918950 |
| DR. FRANK DENNIS LETIZIA | DDS | 1093736555 |
| JASMIN L ECO | D.D.S. | 1043315344 |
| DR. JOHN W. MORTELL | DDS | 1790863983 |
| DR. JEFFERY KENNETH COOK | DDS | 1689753576 |
| DR. ADAM CHRISTOPHER SZATKOWSKI | D.D.S. | 1578635843 |
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.