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Deactivated NPI 1053418863 Deactivated / Inactive NPI Male Practitioner

Dr. Stanley R Mallow , DDS

Dentist • Upper Tract, WV

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Stanley Mallow has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 20, 2006
NPI Deactivation Date August 07, 2017
Total Practice Duration ~11 Years of Practice (2006 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. Stanley Mallow, DDS was a registered Dentist practicing in Upper Tract, WV. Throughout an active medical career spanning 11 years, Dr. Mallow provided care at the practice location at HC 60 BOX 15 until profile deactivation on 2017-08-07.

Practice Location & Contact Primary Location

Practice Address

Hc 60 Box 15

Upper Tract, WV 268669518

Telephone 3043587200
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Upper Tract, WV

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.5 Yrs
Regional Practice Density
2 Specialists

Practicing in Upper Tract, WV (431 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 Primary Specialty

NUCC Taxonomy Code: 122300000X

State License WV 1360

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Siera Mallow , DDS

Dentist - General Practice

NPI 1588222319

Doctor of Dental Surgery

NPI 1720185523

Doctor of Dental Surgery

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated August 07, 2017

Record deactivated on August 07, 2017

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 09, 2007

Registered at HC 60 BOX 15, UPPER TRACT, WV 268669518 (Tel: 3043587200)

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Updated Business Mailing Address July 09, 2007

Registered at HC 60 BOX 15, UPPER TRACT, WV 268669518 (Tel: 3043587200)

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Provider Name / Credentials Updated July 09, 2007

Recorded as STANLEY MALLOW, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Dentist (License #1360 in WV)

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Initial NPI Registration & Enumeration September 20, 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: 1053418863
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 20, 2006
Last Update: July 09, 2007
Deactivation Date: August 07, 2017

Mailing Address

Hc 60 Box 15

Upper Tract, WV 268669518

Phone: 3043587200

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.