Individual provider · Type 1 NPI

Kermit J. Mallette, DDS

General Practice Dentistry · Peachtree City, GA

NPI number 1750549549 Active

About NPI 1750549549

Kermit J. Mallette, DDS's National Provider Identifier is 1750549549, issued on May 28, 2008. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Peachtree City, GA. The record was last updated on Feb 22, 2010.