Stephen C. Mallow, DDS

Dentist · Upper Tract, WV

Individual Active NPI

NPI number 1720185523

Practice location

8791 Petersbug Pike
Upper Tract, WV 26866-8016
Phone
(304) 358-7200
Fax
(304) 358-7284

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NPI record

NPI
1720185523
Entity type
Individual (Type 1)
Enumeration date
September 20, 2006
Last updated
August 19, 2015
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 2529 WV

About Dr. Mallow

Stephen C. Mallow, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 8791 Petersbug Pike, Upper Tract, WV 26866-8016. The NPI number 1720185523 was assigned on September 20, 2006 and the record was last updated on August 19, 2015.

Dr. Mallow lists a license in the registry: #2529 (WV) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Stephen C. Mallow, DDS?

The NPI number is 1720185523.

What is the phone number of Dr. Mallow?

The phone number listed for the practice location is (304) 358-7200.

Where is Dr. Mallow located?

8791 Petersbug Pike, Upper Tract, WV 26866-8016.

What is the taxonomy code for Dr. Mallow?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.