CHARLES M MALLOY DMD NPI 1831274406

NPI Information

Charles M Malloy, DMD is a prosthodontics dentist in Portland, OR. The provider is that branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. Charles M Malloy, DMD NPI is 1831274406. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2730 SW MOODY AVENUE
PORTLAND, OR
ZIP 97201-042
Phone: (503) 494-4316
Fax: (503) 494-2365

The enumeration date for this NPI number is 10/25/2006 and was last updated on 7/16/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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