Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1730260738 Individual Practitioner Male Practitioner

Dr. Johnathan Lewis Mallott , DDS

Dentist • Columbia, MO

Professional Overview & Biography Verified Profile Summary

Dr. Johnathan Mallott, DDS is a registered healthcare professional specializing in Dentist in Columbia, MO. Practice services are available at 3320 BLUFF CREEK DR. under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3320 Bluff Creek Dr.
Suite 100

Columbia, MO 65201

Telephone 5738742433
Fax 5734426525

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Columbia, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 4.0 Yrs
State Avg: 9.6 Yrs
Regional Practice Density
57 Specialists

Practicing in Columbia, MO (1740 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

CMS Verified: 2021-12-21
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License MO 2003012136

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location December 21, 2021

Registered at 3320 BLUFF CREEK DR., SUITE 100, COLUMBIA, MO 65201 (Tel: 5738742433)

📍
Updated Business Mailing Address December 21, 2021

Registered at 3320 BLUFF CREEK DR., SUITE 100, COLUMBIA, MO 65201 (Tel: 5738742433)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 811 N KEENE ST, COLUMBIA, MO 652016634 (Tel: 5738742433)

📍
Updated Business Mailing Address July 08, 2007

Registered at 811 N KEENE ST, COLUMBIA, MO 652016634 (Tel: 5738742433)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JOHNATHAN MALLOTT, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #2003012136 in MO)

🟢
Initial NPI Registration & Enumeration October 17, 2006

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: 1730260738
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 17, 2006
Last Update: December 21, 2021
Sole Proprietor: Yes

Mailing Address

3320 Bluff Creek Dr., Suite 100

Columbia, MO 65201

Phone: 5738742433

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.