Charles Brent Mallin in Clayton - General Practice
Charles Brent Mallin - NPI 1750573960
Charles Brent Mallin is a General Practice in Clayton, Missouri. Charles Brent Mallin practices all healthcare services and medical treatments related to General Practice. The NPI Number for Charles Brent Mallin is 1750573960. The last update date is 2007-08-11.
Charles Brent Mallin's current location address is 8000 Bonhomme Ave Ste 401, Clayton, Missouri. You can contact this provider via phone number 3147272288 and fax number 3147272285. The mailing address for Charles Brent Mallin is 8000 Bonhomme Ave Ste 401, Clayton, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles Brent Mallin |
|---|---|
| Address | 8000 Bonhomme Ave Ste 401, Clayton, Missouri |
| Phone Number | 3147272288 |
| Fax Number | 3147272285 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1750573960 |
|---|---|
| Provider Enumeration Date | 2007-08-11 |
| Last Updated Date | 2007-08-11 |
Provider Mailing Address Detail
| Address | 8000 Bonhomme Ave Ste 401 |
|---|---|
| City | Clayton |
| State | Missouri (MO) |
| Post Code | 631053515 |
| Phone Number | 3147272288 |
| Fax Number | 3147272285 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 11962 |
|
Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
|
Post Comment/ Review Below
What is the Charles Brent Mallin's 1750573960?
The Charles Brent Mallin's NPI (National Provider Identifier) Number is 1750573960. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Charles Brent Mallin located?
The Charles Brent Mallin is located at 8000 Bonhomme Ave Ste 401, Clayton, MO 631053515.
What is Charles Brent Mallin's specialized field of practice, and what is the corresponding taxonomy classification code?
The Charles Brent Mallin's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services issue the 1750573960 to Charles Brent Mallin?
The Charles Brent Mallin received its 1750573960 assignment from the Centers for Medicare & Medicaid Services on 2007-08-11.
When was the information regarding Charles Brent Mallin, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Charles Brent Mallin, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-08-11.