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DR. RANDALL O. MALLETT D.D.S.
NPI 1467574400
Dentist in Stockton, CA

Active since April 03, 2007
3414 BROOKSIDE RD STE 200, STOCKTON, CA 95219(209) 475-1100(209) 475-1166 Get Directions Write a Review

NPPES record last updated: March 27, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Randall O. Mallett D.d.s. NPPES

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

DR. RANDALL O. MALLETT D.D.S. (NPI 1467574400) is an individual dentist in Stockton, California, licensed in California (D28197) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1467574400
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. RANDALL O. MALLETTCredential: D.D.S.
Location Address3414 BROOKSIDE RD STE 200Stockton, CA 95219-1786
Mailing Address3414 Brookside Rd Ste 200Stockton, CA 95219-1786 · (209) 475-1100 · Fax (209) 475-1166
Phone(209) 475-1100
Fax(209) 475-1166
Sole ProprietorNo
Enumeration DateApril 3, 2007
Last NPPES UpdateMarch 27, 2013
✔ NPI 1467574400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · D28197
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
3414 BROOKSIDE RD STE 200, Stockton, CA 95219
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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 Randall Mallett's NPI number?

The NPI number for Randall Mallett is 1467574400. It was assigned to this individual provider in the NPPES registry on April 3, 2007.

Where is Randall Mallett located?

Randall Mallett practices at 3414 Brookside Rd Ste 200, Stockton, CA 95219. The listed phone number is (209) 475-1100.

What is Randall Mallett's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Randall Mallett was last updated on March 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.