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MALLARD DENTAL INC
NPI 1467437756
Dentist - Pediatric Dentistry in Addison, IL

Active since December 09, 2005
33 S ADDISON RD, STE 101, ADDISON, IL 60101(630) 834-4343(630) 834-6308 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mallard Dental Inc NPPES

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

MALLARD DENTAL INC (NPI 1467437756) is a healthcare organization registered as a pediatric dentistry in Addison, Illinois and active in the NPI registry since December 2005. The organization lists Konstadina Anastasia Aralles, President, as its authorized official.

NPPES Registry Identity

NPI1467437756
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameMALLARD DENTAL INC
Location Address33 S ADDISON RD, STE 101Addison, IL 60101-3868
Mailing Address33 S Addison Rd, Ste 101Addison, IL 60101-3868 · (630) 834-4343 · Fax (630) 834-6308
Phone(630) 834-4343
Fax(630) 834-6308
Organization SubpartNo
Authorized OfficialKonstadina Anastasia ArallesPresident · (630) 834-4343
Enumeration DateDecember 9, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1467437756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
33 S ADDISON RD, Addison, IL 60101
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Other Identifiers 2

Medicaid1001079IL
Medicaid103045IL

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 3

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

DR. KONSTADINA ANASTASIA ARALLES D.D.S.
Dentist
33 S ADDISON RD, SUITE #101
ADDISON, IL 60101
Dupage County (630) 834-4343
DR. RONALD EUGENE MIJEWSKI DDS
Dentist
33 S ADDISON RD, 103
ADDISON, IL 60101
Dupage County (630) 941-3316
EGILL LARS JACOBSEN DDS
Dentist (Endodontics)
33 S ADDISON RD, SUITE 103
ADDISON, IL 60101
Dupage County (630) 941-3316

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 Mallard Dental Inc's NPI number?

The NPI number for Mallard Dental Inc is 1467437756. It was assigned to this organization in the NPPES registry on December 9, 2005.

Where is Mallard Dental Inc located?

Mallard Dental Inc is located at 33 S Addison Rd Ste 101, Addison, IL 60101. The listed phone number is (630) 834-4343.

What is Mallard Dental Inc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Mallard Dental Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.