# RAYMOND F. MALLINAK, DDS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447585997
- **Authorized official:** DR. RAYMOND FRANK MALLINAK DDS (OWNER)
- **Authorized official phone:** (276) 632-2189

## Contact information

- **Practice address:** 604 E CHURCH ST, MARTINSVILLE, VA 24112-3008
- **Practice address phone:** (276) 632-2189
- **Practice address fax:** (276) 638-2306
- **Mailing address:** PO BOX 3966, MARTINSVILLE, VA 24115-3966
- **Mailing address phone:** (276) 632-2189
- **Mailing address fax:** (276) 638-2306

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 0401005236 | VA | Yes |

## Other

- **Enumeration date:** 10/15/2009
- **Last updated:** 10/15/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 9178603 | — | VA |