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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

NICHOLAS T MALLORY DMD PLLC
NPI 1053234377
Dentist - General Practice in Eagar, AZ

Active since August 03, 2026
133 WEST CENTRAL AVENUE, PO BOX 430, EAGAR, AZ 85925(928) 333-4121 Get Directions Write a Review

NPPES record added: August 3, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicholas T Mallory Dmd Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICHOLAS T MALLORY DMD PLLC (NPI 1053234377) is a healthcare organization registered as a general practice in Eagar, Arizona and active in the NPI registry since August 2026. The organization lists Nicholas Talbert Mallory, Owner, as its authorized official.

NPPES Registry Identity

NPI1053234377
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameNICHOLAS T MALLORY DMD PLLC
Location Address133 WEST CENTRAL AVENUE, PO BOX 430Eagar, AZ 85925
Mailing Address133 West Central Avenue, Po Box 430Eagar, AZ 85925 · (928) 333-4121
Phone(928) 333-4121
Organization SubpartNo
Authorized OfficialNicholas Talbert MalloryOwner · (928) 240-3285
Enumeration DateAugust 3, 2026
NPPES CertifiedJuly 21, 2026
✔ NPI 1053234377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
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.
133 WEST CENTRAL AVENUE, Eagar, AZ 85925
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicholas T Mallory Dmd PLLC's NPI number?

The NPI number for Nicholas T Mallory Dmd PLLC is 1053234377. It was assigned to this organization in the NPPES registry on August 3, 2026.

Where is Nicholas T Mallory Dmd PLLC located?

Nicholas T Mallory Dmd PLLC is located at 133 West Central Avenue PO Box 430, Eagar, AZ 85925. The listed phone number is (928) 333-4121.

What is Nicholas T Mallory Dmd PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Nicholas T Mallory Dmd PLLC was last updated on August 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.