Organization · Type 2 NPI
Stephen C Mallow dba Upper Tract Dental
General Practice Dentistry · Upper Tract, WV
NPI number
1083395081
Active
Practice location
9030 Petersburg Pike
Upper Tract, WV 26866-8014
Fax (304) 358-7284
Mailing address
8791 Petersburg Pike
Upper Tract, WV 26866-8016
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | None listed |
General Practice Dentistry: 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.
2 other providers at this address
About NPI 1083395081
Stephen C Mallow dba Upper Tract Dental's National Provider Identifier is 1083395081, issued on Jul 31, 2023. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Upper Tract, WV. The record was last updated on Aug 3, 2023.