BEVIN K MALLEY DDS PA NPI 1023326287

NPI Information

  • NPI: 1023326287
  • Provider Name: BEVIN K MALLEY DDS PA
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Organization
  • Doing Business As: CAROLINA KIDS DENTISTRY
  • Address: 6918 GARDEN TERRACE CT
    CHARLOTTE, NC
    ZIP 28210
  • Phone: (704) 790-0590

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NPI Details

BEVIN K MALLEY DDS PA is a pediatric dentistry dentist in Charlotte, NC. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. BEVIN K MALLEY DDS PA NPI is 1023326287. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Carolina Kids Dentistry.

The provider's business location address is:

6918 GARDEN TERRACE CT
CHARLOTTE, NC
ZIP 28210-706
Phone: (704) 790-0590
Fax: (704) 790-0593

The provider's authorized official is Bevin Kiley Malley .
The authorized official title is Pediatric Dentist and has the following contact phone number (704) 790-0590.

The enumeration date for this NPI number is 9/21/2010 and was last updated on 9/21/2010.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0221XDentistPediatric Dentistry8238NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11356359004OTHERNORTH CAROLINAINDIVIDUAL NPI
25906.301MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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