DR. DALE LARRIE MALLORY (NPI# 1225189665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225189665 |
| Entity Type | Individual |
| Full Name | DR. DALE LARRIE MALLORY |
| Credential | D.D.S. |
| Practice Address |
4867 Baxter Rd Suite 101 Virginia Beach VA 23462-4469 |
| Practice Telephone | 7574998139 |
| Mailing Telephone | 7574998139 |
| Enumeration Date | 2007-01-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
0401005769 | VA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881792554 | Dale R Mallory | Chiropractor | 4402 Broadway Blvd, Suite 9, Garland, TX 75043-8263 | 2006-09-20 |
| Street Address |
4867 BAXTER RD SUITE 101 |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23462-4469 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134129810 | Thomas Raymond Skelton | Chiropractor | 4867 Baxter Rd, Suite 107, Virginia Beach, VA 23462-4469 | 2005-07-26 |
| 1063880771 | Atlantic Family Dentistry Pllc. | Dentist | 4867 Baxter Rd, Suite #101, Virginia Beach, VA 23462-4469 | 2015-09-11 |
| 1467662197 | Executive Health Care PC | Family Medicine | 4867 Baxter Rd, Suite 105, Virginia Beach, VA 23462-4469 | 2007-05-23 |
| 1407992423 | Jay Bradley Berkowitz | Chiropractor | 4867 Baxter Rd, Suite 107, Virginia Beach, VA 23462-4469 | 2007-01-29 |
| 1790844900 | Dr Jay B Berkowitz Dc PC | Clinic/Center | 4867 Baxter Rd, Suite 107, Virginia Beach, VA 23462-4469 | 2006-12-06 |
| 1356387013 | Elliot David Sherman | Chiropractor | 4867 Baxter Rd, Suite 107, Virginia Beach, VA 23462-4469 | 2006-06-21 |
| 1417900119 | Kamal Selim Louka | Family Medicine | 4867 Baxter Rd, Suite 105, Virginia Beach, VA 23462-4469 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912534082 | Cheyenne James | Counselor | 297 Independence Blvd., Virginia Beach, VA 23462 | 2020-03-26 |
| 1245871011 | Marathon Transportation Services LLC | Non-emergency Medical Transport (VAN) | 4505 Main Street, Apt 259, Virginia Beach, VA 23462 | 2019-10-03 |
| 1003475153 | Keyuri S Shah | Physical Therapist | 5701 Cleveland St, Ste 600, Virginia Beach, VA 23462 | 2019-06-12 |
| 1629561329 | Mary Katherine Pratt | Physician Assistant | 828 Healthy Way Ste 350, Virginia Beach, VA 23462 | 2018-06-07 |
| 1801387808 | Matrixx Healthcare LLC | Respite Care | 405 S Parliament Dr Ste 106, Virginia Beach, VA 23462 | 2018-05-24 |
| 1518471671 | Newtown Chiropractic Center Pllc | Clinic/Center | 5777 Princess Ann Road, Virginia Beach, VA 23462 | 2017-11-28 |
| 1528587995 | Gary Lee Alexander II | Counselor | 870 N Newtown Road, Virginia Beach, VA 23462 | 2017-09-16 |
| 1801328810 | Servitium Med Va, LLC | Durable Medical Equipment & Medical Supplies | 4445 Corporation Lane Suite 291, Virginia Beach, VA 23462 | 2017-03-29 |
| 1215476171 | Johnnie Walter Cox IIi | Emergency Medical Technician, Basic | 5163 Cleveland Street, Virginia Beach, VA 23462 | 2017-02-13 |
| 1225570179 | Holly Balsamo | Occupational Therapy Assistant | 5345 Marian Lane, Virginia Beach, VA 23462 | 2016-11-09 |
| Find all providers in zip 23462 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639797285 | Amber Robinson Hogan | Dentist | 2100 Lynnhaven Pkwy Ste 100, Virginia Beach, VA 23456-1492 | 2020-07-09 |
| 1851914980 | Grace Choe | Dentist | 2521 N Landing Rd, Virginia Beach, VA 23456-3460 | 2020-05-23 |
| 1760043079 | Rodion Kryzhanovskiy | Dentist | 2301 General Booth Blvd Ste A, Virginia Beach, VA 23456-7755 | 2019-06-26 |
| 1700445145 | Harry Wooten Squire | Dentist | 1635 Laskin Rd, Virginia Beach, VA 23451-6113 | 2019-06-10 |
| 1902368491 | Lighthouse Dental Group, P.C. | Dentist | 2521 N Landing Rd Ste 100, Virginia Beach, VA 23456-3460 | 2019-04-03 |
| 1558831040 | Rashmi Bhatt Dds PC | Dentist | 5660 Indian River Rd Ste 114, Virginia Beach, VA 23464-5240 | 2018-11-28 |
| 1306314885 | Adrian M. Laxa, Dds, PC | Dentist | 4540 Princess Anne Rd Ste 101, Virginia Beach, VA 23462-7962 | 2018-11-02 |
| 1649747080 | Althouse Family Dentistry | Dentist | 337 Edwin Dr Ste 101, Virginia Beach, VA 23462-4560 | 2018-10-24 |
| 1346720661 | Aspen Dental of Virginia PC | Dentist | 4625 Virginia Beach Blvd, Virginia Beach, VA 23462-6795 | 2018-08-16 |
| 1215423322 | Ketan Patel | Dentist | 395 Norfolk Ave, Virginia Beach, VA 23451 | 2018-07-02 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23462 |
Please comment or provide details below to improve the information on DR. DALE LARRIE MALLORY.
| 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.