Johnathan Lewis Mallott in Columbia - Dentist
Johnathan Lewis Mallott - NPI 1730260738
Johnathan Lewis Mallott is a Dentist in Columbia, Missouri. Johnathan Lewis Mallott practices all healthcare services and medical treatments related to Dentist. The NPI Number for Johnathan Lewis Mallott is 1730260738. The last update date is 2021-12-21.
Johnathan Lewis Mallott's current location address is 3320 Bluff Creek Dr., Columbia, Missouri. You can contact this provider via phone number 5738742433 and fax number 5734426525. The mailing address for Johnathan Lewis Mallott is 3320 Bluff Creek Dr., Columbia, Missouri. To know further, please read the information below!
Provider Profile Detail
Provider Name | Johnathan Lewis Mallott |
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Address | 3320 Bluff Creek Dr., Columbia, Missouri |
Phone Number | 5738742433 |
Fax Number | 5734426525 |
Sole Proprietor | Y |
Credentials | DDS |
NPI Number Detail
NPI Number | 1730260738 |
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Provider Enumeration Date | 2006-10-17 |
Last Updated Date | 2021-12-21 |
Provider Mailing Address Detail
Address | 3320 Bluff Creek Dr. |
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City | Columbia |
State | Missouri (MO) |
Post Code | 65201 |
Phone Number | 5738742433 |
Fax Number | 5734426525 |
Provider's Primary Taxonomy Detail
Speciality | Dentist |
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Taxonomy | 122300000X |
Licence No | 2003012136 |
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 |
Post Comment/ Review Below
What is the unique identifier code issued to Johnathan Lewis Mallott by the Centers for Medicare & Medicaid Services (CMS)?
The Johnathan Lewis Mallott has been assigned the NPI (National Provider Identifier) 1730260738. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Johnathan Lewis Mallott is physically located?
The Johnathan Lewis Mallott is physically situated at the following address: 3320 Bluff Creek Dr., Columbia, MO, 65201.
What is the Johnathan Lewis Mallott's area of specialization and corresponding taxonomy classification?
The Johnathan Lewis Mallott's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1730260738 to Johnathan Lewis Mallott?
The Johnathan Lewis Mallott received its 1730260738 assignment from the Centers for Medicare & Medicaid Services on 2006-10-17.
When was the information regarding Johnathan Lewis Mallott, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Johnathan Lewis Mallott, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-12-21.