Individual provider · Type 1 NPI
Nicholas Talbert Mallory, DMD
General Practice Dentistry · Eagar, AZ
NPI number
1851950588
Active
Practice location
133 W Central Ave
Eagar, AZ 85925
Mailing address
150 N River Rd
Eagar, AZ 85925-9899
Other practice locations
- 932 S Main St Ste C, Snowflake, AZ 85937-5585 · (928) 536-5773
- 43 W White Mountain Blvd, Lakeside, AZ 85929-7002 · (928) 367-9967
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | D010324 (AZ) |
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.
About NPI 1851950588
Nicholas Talbert Mallory, DMD's National Provider Identifier is 1851950588, issued on Jun 6, 2019. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Eagar, AZ. The record was last updated on Jun 6, 2019.