Organization
NICHOLAS T MALLORY DMD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS TALBERT MALLORY DMD (OWNER)
(928) 240-3285
Entity
Organization
Contact information
Practice address
133 WEST CENTRAL AVENUE, PO BOX 430, EAGAR, AZ 85925
(928) 333-4121
Mailing address
133 WEST CENTRAL AVENUE, PO BOX 430, EAGAR, AZ 85925
(928) 333-4121
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/03/2026
Last updated
08/03/2026
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