DR. DANIEL C. MALLORY (NPI# 1104912237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104912237 |
| Entity Type | Individual |
| Full Name | DR. DANIEL C. MALLORY |
| Credential | D.D.S., M.S. |
| Practice Address |
2250 South Fm 51 Suite 800 Decatur TX 76234-3771 |
| Practice Telephone | 9406270960 |
| Mailing Telephone | 9406270960 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
20625 | TX | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023012739 | Daniel H Mallory | Optometrist | 1409 N Norma St, Ridgecrest, CA 93555-2510 | 2005-06-09 |
| 1568861078 | Daniel Mallory | Occupational Therapy Assistant | 5601 Hatchery Rd, 248) 674-9292, Waterford, MI 48329-3451 | 2014-08-20 |
| Street Address |
2250 SOUTH FM 51 SUITE 800 |
| City | DECATUR |
| State | TX |
| Zip Code | 76234-3771 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477102028 | Ursula Eileen Fernandez-plata | Technician | 1221 Cr 4371, Decatur, TX 76234 | 2019-09-06 |
| 1649772377 | Stephanie Jennie Roddenberry | Nurse Practitioner | 2301 S Fm 51 Ste 500, Decatur, TX 76234 | 2018-03-08 |
| 1467731679 | David Gatti Corless | Dentist | 301 W. Main St., Decatur, TX 76234 | 2011-08-05 |
| 1376830067 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 805 W Business Hwy 380, Decatur, TX 76234 | 2011-07-01 |
| 1356667844 | Richard Ryan Ooten | Specialist/Technologist, Other | 239 Harvey Lane, Decatur, TX 76234 | 2010-04-09 |
| 1003049032 | Advanced Gastroenterology Associates, Pa | Internal Medicine | 607 Medical Center Drive, Suite 2600, Decatur, TX 76234 | 2009-08-25 |
| 1831346188 | Rufus John Nelson | Dentist | 1710 S Hwy 51 Ste 20,pmb #176, 1000 W Business Hwy 380, Decatur, TX 76234 | 2008-08-19 |
| 1851558449 | James Lee Hendrick | Counselor | 2304 Fm 51 South, Decatur, TX 76234 | 2008-05-21 |
| 1891964995 | Sheryl A White | Counselor | 1106 E Business Hwy 380, Decatur, TX 76234 | 2008-02-22 |
| 1366625022 | Tower Mutual Holding Company, Inc. | Durable Medical Equipment & Medical Supplies | 206 N. State Street, Decatur, TX 76234 | 2007-12-17 |
| Find all providers in zip 76234 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033608971 | John Anderson Clinebell | Dentist | 3732 Lavista Rd, Decatur, GA 30033-1006 | 2018-05-07 |
| 1013418201 | Clark Clayton Browne Jr. | Dentist | 1815 Somerville Rd Se, Decatur, AL 35601-5015 | 2018-02-23 |
| 1053683854 | Jimiesh G Crane | Dentist | 5243 Snapfinger Woods Dr Ste 105, Decatur, GA 30035 | 2012-02-08 |
| 1831346188 | Rufus John Nelson | Dentist | 1710 S Hwy 51 Ste 20,pmb #176, 1000 W Business Hwy 380, Decatur, TX 76234 | 2008-08-19 |
| 1306969514 | Lew B. Sample | Dentist | 2014 Danville Park Dr Sw, Decatur, AL 35603-1832 | 2007-04-10 |
| 1396808218 | John A. Clinebell, D.d.s., M.s., P.C. | Dentist | 3744 Lavista Rd, Suite A, Decatur, GA 30033-1006 | 2006-12-19 |
| 1023189206 | Mary Lynn Crews | Dentist | 1989 N Williamsburg Dr, Suite A, Decatur, GA 30033-3509 | 2006-11-10 |
| 1316028244 | Penny Lee Taylor | Dentist | 2514 Danville Rd Sw, Decatur, AL 35603-4213 | 2006-10-18 |
| 1013098045 | Catherine E. Cavanaugh | Dentist | 1353 E Mound Rd Ste 203, Decatur, IL 62526-3680 | 2006-10-18 |
| 1578541736 | Allise M. Calloway | Dentist | 4919 Flat Shoals Pkwy, Suite 210, Decatur, GA 30034-5258 | 2006-01-06 |
| Find all providers in DECATUR | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.