DR. JOHNATHAN MALLOTT, DDS

Dentist

Active Individual
NPI: 1730260738

Practice Address

3320 BLUFF CREEK DR.
SUITE 100
Columbia, MO 65201

Phone: (573) 874-2433

Specialties

Specialty Code Primary License
Dentist 122300000X Yes 2003012136 (MO)

Frequently Asked Questions

NPI 1730260738 is the National Provider Identifier for DR. JOHNATHAN MALLOTT, DDS, a Dentist provider located in Columbia, MO. This NPI was enumerated on October 17, 2006.
DR. JOHNATHAN MALLOTT, DDS practices at 3320 BLUFF CREEK DR., SUITE 100, Columbia, MO 65201.

Quick Facts

NPI
1730260738
Type
Individual
Enumerated
Oct 17, 2006
Last Updated
Dec 21, 2021

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