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DR. JOHNATHAN LEWIS MALLOTT DDS
NPI 1730260738
Dentist in Columbia, MO

Active since October 17, 2006
3320 BLUFF CREEK DR., SUITE 100, COLUMBIA, MO 65201(573) 874-2433(573) 442-6525 Get Directions Write a Review

NPPES record last updated: December 21, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Johnathan Lewis Mallott Dds NPPES

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

DR. JOHNATHAN LEWIS MALLOTT DDS (NPI 1730260738) is an individual dentist in Columbia, Missouri, licensed in Missouri (2003012136) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1730260738
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. JOHNATHAN LEWIS MALLOTTCredential: DDS
Location Address3320 BLUFF CREEK DR., SUITE 100Columbia, MO 65201
Mailing Address3320 Bluff Creek Dr., Suite 100Columbia, MO 65201 · (573) 874-2433 · Fax (573) 442-6525
Phone(573) 874-2433
Fax(573) 442-6525
Sole ProprietorYes
Enumeration DateOctober 17, 2006
Last NPPES UpdateDecember 21, 2021
NPPES CertifiedDecember 21, 2021
✔ NPI 1730260738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MO · 2003012136
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.
3320 BLUFF CREEK DR., Columbia, MO 65201
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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 Johnathan Mallott's NPI number?

The NPI number for Johnathan Mallott is 1730260738. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Where is Johnathan Mallott located?

Johnathan Mallott practices at 3320 Bluff Creek Dr. Suite 100, Columbia, MO 65201. The listed phone number is (573) 874-2433.

What is Johnathan Mallott'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 Johnathan Mallott was last updated on December 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.