Johnathan Mallott, DDS
NPI 1730260738 · on the registry since 2006 · sole proprietor
Practice
- Address
- 3320 Bluff Creek Dr.
Suite 100
Columbia, MO 65201 - Phone
- (573) 874-2433
- Fax
- (573) 442-6525
- Organisation at this address
- Total Renal Care Inc
Mallott Family Dental, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-12-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri