DR. CHRISTOPHER STEPHEN MALLOW (NPI# 1710547039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710547039 |
| Entity Type | Individual |
| Full Name | DR. CHRISTOPHER STEPHEN MALLOW |
| Credential | DDS |
| Practice Address |
9030 Petersburg Pike Upper Tract WV 26866-8014 |
| Mailing Address |
8791 Petersburg Pike Upper Tract WV 26866-8016 |
| Practice Telephone | 3043587284 |
| Mailing Telephone | 3043582887 |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2019-06-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
4405 | WV | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568478584 | Christopher M Mallow | Dentist | 105 Giles Ave, Blissfield, MI 49228-1238 | 2006-07-31 |
| 1326333279 | Christopher Michael Mallow | General Practice | 4901 Forest Park Ave, Saint Louis, MO 63108-1402 | 2011-06-17 |
| Street Address |
9030 PETERSBURG PIKE |
| City | UPPER TRACT |
| State | WV |
| Zip Code | 26866-8014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194337402 | Shelia Propst | Technician | 2833 South Mill Creekrd, Upper Tract, WV 26866 | 2020-08-18 |
| 1700093291 | Uha Upper Trace (paasgrp) | Family Medicine | Wvu & Route 220 South, Upper Tract, WV 26866-0000 | 2007-05-16 |
| 1780295451 | Laura Alexander | Technician | 2833 S Mill Creek Rd, Upper Tract, WV 26866-7595 | 2020-08-14 |
| 1104377498 | Barbara Heavner | Massage Therapist | 9311 Petersburg Pike, Upper Tract, WV 26866-8011 | 2016-10-20 |
| 1720185523 | Stephen C Mallow | Dentist | 8791 Petersbug Pike, Upper Tract, WV 26866-8016 | 2006-09-20 |
| 1346850922 | Mary S Kimble | Technician | 1754 Jake Hill Rd, Upper Tract, WV 26866-8527 | 2020-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194337402 | Shelia Propst | Technician | 2833 South Mill Creekrd, Upper Tract, WV 26866 | 2020-08-18 |
| 1780295451 | Laura Alexander | Technician | 2833 S Mill Creek Rd, Upper Tract, WV 26866-7595 | 2020-08-14 |
| 1346850922 | Mary S Kimble | Technician | 1754 Jake Hill Rd, Upper Tract, WV 26866-8527 | 2020-08-07 |
| 1104377498 | Barbara Heavner | Massage Therapist | 9311 Petersburg Pike, Upper Tract, WV 26866-8011 | 2016-10-20 |
| 1427268119 | Uha Upper Tract Lab | Clinical Medical Laboratory | Rt 220 South, Upper Tract, WV 26766 | 2007-05-23 |
| 1700093291 | Uha Upper Trace (paasgrp) | Family Medicine | Wvu & Route 220 South, Upper Tract, WV 26866-0000 | 2007-05-16 |
| 1720185523 | Stephen C Mallow | Dentist | 8791 Petersbug Pike, Upper Tract, WV 26866-8016 | 2006-09-20 |
| 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 |
|---|---|---|---|---|
| 1538774401 | Triadelphia of West Virginia Dental Pllc | Dentist | 219 Cabela Dr, Triadelphia, WV 26059-1022 | 2020-09-09 |
| 1396361598 | Safa Alathari | Dentist | 1554 Mileground Rd Ste A, Morgantown, WV 26505-3749 | 2020-06-23 |
| 1063038677 | Angela Nicole Stowers | Dentist | 2601 1st Ave, Nitro, WV 25143-1713 | 2020-06-19 |
| 1700400231 | Tyler Reed Myers | Dentist | 45 E Benjamin Dr, New Martinsville, WV 26155-2705 | 2020-06-01 |
| 1245871326 | Mason Bishop | Dentist | 402 Red Oak St, Summersville, WV 26651-1000 | 2019-09-30 |
| 1144880808 | Miranda Jo Ferrari | Dentist | 3 Creekstone Rdg, Charleston, WV 25309-8986 | 2019-06-15 |
| 1235797804 | Brennan Matthew Wood | Dentist | 142 Holiday Ln, Lewisburg, WV 24901-9315 | 2019-05-30 |
| 1568923837 | Yulia Meadows | Dentist | 8 Middletown Rd, Fairmont, WV 26554-8102 | 2019-03-28 |
| 1679046049 | Liberty Dental Centers | Dentist | 102 Galleria Plaza, Beckley, WV 25801 | 2019-01-08 |
| 1992270367 | John W Perrine, Dds | Dentist | 7028 Webster Rd, Cowen, WV 26206-8720 | 2018-10-11 |
| Find all providers with the same taxonomy | ||||
| City | UPPER TRACT |
| Zip Code | 26866 |
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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.