Individual provider · Type 1 NPI

Reagan Anderson Malcolm, DDS

Oral and Maxillofacial Surgery (Dentist) · Rochester, MN

NPI number 1407796733 Active

Practice location

200 1st St SW
Rochester, MN 55905-0001

Call (507) 284-2511 Map

Mailing address

PO Box 860912, Select One:
Minneapolis, MN 55486-0912

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XD15467 (MN)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1407796733

Reagan Anderson Malcolm, DDS's National Provider Identifier is 1407796733, issued on Mar 30, 2026. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Rochester, MN. The record was last updated on Jun 12, 2026.