Stephen C Mallow is a Dentist in Upper Tract, . Stephen C Mallow practices all healthcare services and medical treatments related to Dentist. The NPI Number for Stephen C Mallow is 1720185523. The last update date is 2015-08-19.
Stephen C Mallow's current location address is 8791 Petersbug Pike, Upper Tract, . You can contact this provider via phone number 3043587200 and fax number 3043587284. The mailing address for Stephen C Mallow is 8791 Petersbug Pike, Upper Tract, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephen C Mallow |
|---|---|
| Address | 8791 Petersbug Pike, Upper Tract, |
| Phone Number | 3043587200 |
| Fax Number | 3043587284 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1720185523 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2015-08-19 |
Provider Mailing Address Detail
| Address | 8791 Petersbug Pike |
|---|---|
| City | Upper Tract |
| State | (WV) |
| Post Code | 268668016 |
| Phone Number | 3043587200 |
| Fax Number | 3043587284 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 2529 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 136526000 | WV | -- |
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What is the unique identification code assigned to Stephen C Mallow by the Centers for Medicare & Medicaid Services?
The Stephen C Mallow has been issued the NPI (National Provider Identifier) 1720185523. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Stephen C Mallow located?
The Stephen C Mallow is located at 8791 Petersbug Pike, Upper Tract, WV 268668016.
What is Stephen C Mallow's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Stephen C Mallow is Dentist, and the taxonomy code that classifies this field of practice is 122300000X.
On what date did Stephen C Mallow receive its 1720185523 assignment from the Centers for Medicare & Medicaid Services?
The Stephen C Mallow was assigned its 1720185523 on 2006-09-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Stephen C Mallow, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Stephen C Mallow, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-08-19.
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