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.

  • Individual
  • Male
  • Dentist
  • Prosthodontics

About CHARLES MALLOY

This page provides the complete NPI Profile along with additional information for Charles Malloy, a provider established in Portland, Oregon with a medical specialization in Dentist, focusing in prosthodontics . The healthcare provider is registered in the NPI registry with number 1831274406 assigned on October 2006. The practitioner's primary taxonomy code is 1223P0700X with license number D7264 (OR). The provider is registered as an individual and his NPI record was last updated 12 years ago.

NPI
1831274406 Verify this NPI
Provider Name
CHARLES M MALLOY DMD
Gender
Male
Entity Type
Individual
Location Address
2730 SW MOODY AVENUE PORTLAND, OR 97201
Location Phone
(503) 494-4316
Location Fax
(503) 494-2365
Mailing Address
13685 SW AERIE DR PORTLAND, OR 97223
Mailing Phone
(503) 579-8203
Is Sole Proprietor?
Yes
Enumeration Date
10-25-2006
Last Update Date
07-16-2014
Code Navigator

A dentist like Charles Malloy is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist Prosthodontics

Taxonomy Code
1223P0700X
Type
Dental Providers
License No.
D7264
License State
OR
Taxonomy Description
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.

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Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Dentist
2730 SW MOODY AVENUE
PORTLAND, OR 97201
Dentist
2730 SW MOODY AVENUE
PORTLAND, OR 97201
Dentist
2730 SW MOODY AVENUE
PORTLAND, OR 97201
Student in an Organized Health Care Education/Training Program
2730 SW MOODY AVENUE
PORTLAND, OR 97201
Student in an Organized Health Care Education/Training Program
2730 SW MOODY AVENUE
PORTLAND, OR 97201
Student in an Organized Health Care Education/Training Program
2730 SW MOODY AVENUE
PORTLAND, OR 97201
Student in an Organized Health Care Education/Training Program
2730 SW MOODY AVENUE
PORTLAND, OR 97201

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1831274406, enumerated as an "individual" on October 25, 2006.

The provider is located at 2730 SW MOODY AVENUE PORTLAND, OR 97201 and the phone number is (503) 494-4316.

Dentist with taxonomy code 1223P0700X and a focus in Prosthodontics.