DR. MALLORY JANE HACKBARTH DMD NPI 1265880470

NPI Information

  • NPI: 1265880470
  • Provider Name: DR. MALLORY JANE HACKBARTH, DMD
  • Classification: Dentist - 1223E0200X
  • Specialization: Endodontics
  • Entity Type: Individual
  • Address: 105 BEN CASEY DR STE 121
    FORT MILL, SC
    ZIP 29708
  • Phone: (803) 802-3681

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NPI Details

DR. Mallory Jane Hackbarth, DMD is an endodontics dentist in Fort Mill, SC. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. DR. Mallory Jane Hackbarth, DMD NPI is 1265880470. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

105 BEN CASEY DR STE 121
FORT MILL, SC
ZIP 29708-574
Phone: (803) 802-3681

The enumeration date for this NPI number is 5/27/2016 and was last updated on 12/3/2024.

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
1390200000XStudent in an Organized Health Care Education/Training ProgramNo
21223E0200XDentistEndodontics10831SOUTH CAROLINAYes
31223G0001XDentistGeneral Practice10500TENNESSEENo

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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