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Active NPI 1851950588 Individual Practitioner Male Practitioner

Dr. Nicholas Talbert Mallory , DMD

Dentist - General Practice • Eagar, AZ

Professional Overview & Biography Verified Profile Summary

Dr. Nicholas Mallory, DMD is a registered healthcare professional specializing in Dentist - General Practice in Eagar, AZ. Practice services are available at 133 W CENTRAL AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

133 W Central Ave

Eagar, AZ 85925

Telephone 9283334121
Associated Practice Facility / Clinic
🏢 Jim W Crosby Dds Pc Facility NPI 1730130360

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Eagar, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.4 Yrs
Regional Practice Density
1 Specialists

Practicing in Eagar, AZ (2600 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License AZ D010324

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Secondary Practice Locations

932 S Main St Ste C

Snowflake, AZ 859375585

Phone: 9285365773

43 W White Mountain Blvd

Lakeside, AZ 859297002

Phone: 9283679967

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active June 06, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location June 06, 2019

Registered at 133 W CENTRAL AVE, EAGAR, AZ 85925 (Tel: 9283334121)

📍
Updated Business Mailing Address June 06, 2019

Registered at 150 N RIVER RD, EAGAR, AZ 859259899

👤
Provider Name / Credentials Updated June 06, 2019

Recorded as NICHOLAS MALLORY, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 06, 2019

Dentist (License #D010324 in AZ)

🟢
Initial NPI Registration & Enumeration June 06, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1851950588
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 06, 2019
Last Update: June 06, 2019
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

150 N River Rd

Eagar, AZ 859259899

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.