KEEN DENTAL CARE
NPI 1457732208
Dentist - General Practice in Columbia, MO

Q: What is Mallott Family Dental, Inc.'s NPI number?

The NPI number for Mallott Family Dental, Inc. is 1457732208. It was assigned to this organization in the NPPES registry on June 17, 2015. The provider is doing business as Keen Dental Care.

Q: What is Mallott Family Dental, Inc.'s specialty?

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

Active since June 17, 2015

3320 BLUFF CREEK DR, SUITE 100, COLUMBIA, MO 65201(573) 875-5336 Get Directions Write a Review

NPPES record last updated: June 17, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Keen Dental Care NPPES

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

KEEN DENTAL CARE (NPI 1457732208) is a healthcare organization registered as a general practice in Columbia, Missouri and active in the NPI registry since June 2015. The organization lists Johnathan L Mallott, President, as its authorized official.

NPPES Registry Identity

NPI1457732208

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameMALLOTT FAMILY DENTAL, INC.

Location Address3320 BLUFF CREEK DR, SUITE 100Columbia, MO 65201-3501

Mailing Address3320 Bluff Creek Dr, Suite 100Columbia, MO 65201-3501 · (573) 875-5336

Phone(573) 875-5336

Organization SubpartNo

Authorized OfficialJohnathan L MallottPresident · (573) 875-5336

Enumeration DateJune 17, 2015

✔ NPI 1457732208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MO · 2003102136

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.

3320 BLUFF CREEK DR, Columbia, MO 65201

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Other Names 1

Doing Business AsKeen Dental Care

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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TOTAL RENAL CARE INC

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)

3320 BLUFF CREEK DR, STE 105
COLUMBIA, MO 65201

Boone County (573) 443-1084

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 Mallott Family Dental, Inc.'s NPI number?

The NPI number for Mallott Family Dental, Inc. is 1457732208. It was assigned to this organization in the NPPES registry on June 17, 2015. The provider is doing business as Keen Dental Care.

Where is Mallott Family Dental, Inc. located?

Mallott Family Dental, Inc. is located at 3320 Bluff Creek Dr Suite 100, Columbia, MO 65201. The listed phone number is (573) 875-5336.

What is Mallott Family Dental, Inc.'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 Mallott Family Dental, Inc. was last updated on June 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.