Mallery, Susan Regina

Mallery, Susan Regina is an individual health care provider with primary practice located at 305 W 12Th Ave College Of Dentistry Ohio State University, Columbus OH 43210-1267. She recently has only one registered license in Dental Providers / Oral and Maxillofacial Pathology, which is considered as her primary health care specialty. Mallery, Susan Regina can be contacted via phone (614) 292-5892.

Contact Information

Primary practice address
305 W 12Th Ave College Of Dentistry Ohio State University Columbus OH 43210-1267
Phone: (614) 292-5892
Fax: (614) 292-9384
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Pathology 1223P0106X 30016966 Ohio

Profile Details

NPI number 1083688865
LBN Legal business name Mallery, Susan Regina
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2006
Last updated Mar 8th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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