CHARLES BRENT MALLIN D.D.S.
NPI 1750573960
Dentist - General Practice in Clayton, MO

Q: What is Charles Mallin's NPI number?

The NPI number for Charles Mallin is 1750573960. It was assigned to this individual provider in the NPPES registry on August 11, 2007.

Q: What is Charles Mallin's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Charles Mallin was last updated on August 11, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since August 11, 2007

8000 BONHOMME AVE STE 401, SUITE 401, CLAYTON, MO 63105(314) 727-2288(314) 727-2285 Get Directions Write a Review

NPPES record last updated: August 11, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Charles Brent Mallin D.d.s. NPPES

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

CHARLES BRENT MALLIN D.D.S. (NPI 1750573960) is an individual general practice provider in Clayton, Missouri, licensed in Missouri (11962) and active in the NPI registry since August 2007.

NPPES Registry Identity

NPI1750573960

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameCHARLES BRENT MALLINCredential: D.D.S.

Location Address8000 BONHOMME AVE STE 401, SUITE 401Clayton, MO 63105-3515

Mailing Address8000 Bonhomme Ave Ste 401, Suite 401Clayton, MO 63105-3515 · (314) 727-2288 · Fax (314) 727-2285

Phone(314) 727-2288

Fax(314) 727-2285

Sole ProprietorYes

Enumeration DateAugust 11, 2007

✔ NPI 1750573960 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 · 11962

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.

8000 BONHOMME AVE STE 401, Clayton, MO 63105

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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 Charles Mallin's NPI number?

The NPI number for Charles Mallin is 1750573960. It was assigned to this individual provider in the NPPES registry on August 11, 2007.

Where is Charles Mallin located?

Charles Mallin practices at 8000 Bonhomme Ave Ste 401 Suite 401, Clayton, MO 63105. The listed phone number is (314) 727-2288.

What is Charles Mallin'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 Charles Mallin was last updated on August 11, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.