| Nicholas T Mallory DMD PLLC | |
|
133 West Central Avenue Po Box 430 Eagar AZ 85925 | |
| (928) 333-4121 | |
| Not Available |
| Full Name | Nicholas T Mallory DMD PLLC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 133 West Central Avenue, Eagar, Arizona |
| Authorized Official Name and Position | Nicholas Talbert Mallory (OWNER) |
| Authorized Official Contact | 9282403285 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nicholas T Mallory DMD PLLC 133 West Central Avenue Po Box 430 Eagar AZ 85925 Ph: (928) 333-4121 | Nicholas T Mallory DMD PLLC 133 West Central Avenue Po Box 430 Eagar AZ 85925 Ph: (928) 333-4121 |
| NPI Number | 1053234377 |
|---|---|
| Provider Enumeration Date | 08/03/2026 |
| Last Update Date | 08/03/2026 |
| Certification Date | 07/21/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053234377 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
Stephen M Palmer DDS PC Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 74 N Main St, Ste 9, Eagar, AZ 85925 Phone: 928-333-2345 Fax: 928-333-2483 |
Jim W Crosby DDS PC Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 133 W Central Box 430, Eagar, AZ 85925 Phone: 928-333-4121 Fax: 928-333-5089 |