DR. TRACIE GAYLE MALLOY D.D.S.
NPI 1386852150
Dentist - General Practice in Tulsa, OK

Active since May 17, 2007
1225 E 19TH ST, TULSA, OK 74120(918) 582-3927 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Tracie Gayle Malloy D.d.s. NPPES

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

DR. TRACIE GAYLE MALLOY D.D.S. (NPI 1386852150) is an individual general practice provider in Tulsa, Oklahoma, licensed in Oklahoma (5399) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1386852150
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. TRACIE GAYLE MALLOYCredential: D.D.S.
Location Address1225 E 19TH STTulsa, OK 74120-7418
Mailing Address1225 E 19th StTulsa, OK 74120-7418 · (918) 582-3927
Sole ProprietorYes
Enumeration DateMay 17, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1386852150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in OK · 5399
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.

1225 E 19TH ST, Tulsa, OK 74120

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386852150, enumerated as an "individual" on May 17, 2007.

The provider is located at 1225 E 19TH ST TULSA, OK 74120 and the phone number is (918) 582-3927.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.