Charles Brent Mallin, D.D.S.

General Practice Dentistry · Clayton, MO

Individual Active NPI

NPI number 1750573960

Practice location

8000 Bonhomme Ave Ste 401
Suite 401
Clayton, MO 63105-3515
Phone
(314) 727-2288
Fax
(314) 727-2285

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NPI record

NPI
1750573960
Entity type
Individual (Type 1)
Enumeration date
August 11, 2007
Last updated
August 11, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 11962 MO

About Dr. Mallin

Charles Brent Mallin, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 8000 Bonhomme Ave Ste 401, Suite 401, Clayton, MO 63105-3515. The NPI number 1750573960 was assigned on August 11, 2007 and the record was last updated on August 11, 2007.

Dr. Mallin lists a license in the registry: #11962 (MO) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Charles Brent Mallin, D.D.S.?

The NPI number is 1750573960.

What is the phone number of Dr. Mallin?

The phone number listed for the practice location is (314) 727-2288.

Where is Dr. Mallin located?

8000 Bonhomme Ave Ste 401, Suite 401, Clayton, MO 63105-3515.

What is the taxonomy code for Dr. Mallin?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

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.

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