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CHARLES M MALLOY DMD
NPI 1831274406
Dentist - Prosthodontics in Portland, OR

Active since October 25, 2006
2730 SW MOODY AVENUE, PORTLAND, OR 97201(503) 494-4316(503) 494-2365 Get Directions Write a Review

NPPES record last updated: July 16, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Charles M Malloy Dmd NPPES

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

CHARLES M MALLOY DMD (NPI 1831274406) is an individual prosthodontics provider in Portland, Oregon, licensed in Oregon (D7264) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1831274406
Entity TypeIndividualMale
Primary Taxonomy1223P0700X
Provider Legal NameCHARLES M MALLOYCredential: DMD
Location Address2730 SW MOODY AVENUEPortland, OR 97201-5042
Mailing Address13685 Sw Aerie DrPortland, OR 97223-2805 · (503) 579-8203
Phone(503) 494-4316
Fax(503) 494-2365
Sole ProprietorYes
Enumeration DateOctober 25, 2006
Last NPPES UpdateJuly 16, 2014
✔ NPI 1831274406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · ProsthodonticsDental Providers
Taxonomy Code1223P0700X
License✔ Licensed in OR · D7264
Definition

That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

2730 SW MOODY AVENUE, Portland, OR 97201
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Other Providers at the Same Location NPPES 7

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

DENICE C STEWART DDS
Dentist
2730 SW MOODY AVENUE
PORTLAND, OR 97201
Multnomah County (503) 494-8867
PETER W MORITA DMD
Dentist
2730 SW MOODY AVENUE
PORTLAND, OR 97201
Multnomah County (503) 494-4316
THOMAS L GALBRAITH DDS
Dentist
2730 SW MOODY AVENUE
PORTLAND, OR 97201
Multnomah County (503) 494-8867
AILEEN MA
Student in an Organized Health Care Education/Training Program
2730 SW MOODY AVENUE
PORTLAND, OR 97201
Multnomah County (503) 494-8220
MARYANN GARCIA PAZ
Student in an Organized Health Care Education/Training Program
2730 SW MOODY AVENUE
PORTLAND, OR 97201
Multnomah County (360) 936-5509
AZHAR MOHAMMAD HUSSEIN
Student in an Organized Health Care Education/Training Program
2730 SW MOODY AVENUE
PORTLAND, OR 97201
Multnomah County (503) 494-3633
AMBER ELLIS
Student in an Organized Health Care Education/Training Program
2730 SW MOODY AVENUE
PORTLAND, OR 97201
Multnomah County (503) 494-3633

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 Malloy's NPI number?

The NPI number for Charles Malloy is 1831274406. It was assigned to this individual provider in the NPPES registry on October 25, 2006.

Where is Charles Malloy located?

Charles Malloy practices at 2730 SW Moody Avenue, Portland, OR 97201. The listed phone number is (503) 494-4316.

What is Charles Malloy's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

When was this NPI record last updated?

The NPPES record for Charles Malloy was last updated on July 16, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.