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NICHOLAS TALBERT MALLORY DMD
NPI 1851950588
Dentist - General Practice in Eagar, AZ

Active since June 06, 2019
133 W CENTRAL AVE, EAGAR, AZ 85925(928) 333-4121 Get Directions Write a Review

NPPES record last updated: June 6, 2019. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Nicholas Talbert Mallory Dmd NPPES

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

NICHOLAS TALBERT MALLORY DMD (NPI 1851950588) is an individual general practice provider in Eagar, Arizona, licensed in Arizona (D010324) and active in the NPI registry since June 2019. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1851950588
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameNICHOLAS TALBERT MALLORYCredential: DMD
Location Address133 W CENTRAL AVEEagar, AZ 85925
Mailing Address150 N River RdEagar, AZ 85925-9899
Phone(928) 333-4121
Sole ProprietorYes
Enumeration DateJune 6, 2019
✔ NPI 1851950588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in AZ · D010324
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.
133 W CENTRAL AVE, Eagar, AZ 85925
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Secondary Practice Locations 2

Location 1932 S Main St Ste CSnowflake, AZ 85937-5585 · Phone (928) 536-5773
Location 243 W White Mountain BlvdLakeside, AZ 85929-7002 · Phone (928) 367-9967

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

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 Nicholas Mallory's NPI number?

The NPI number for Nicholas Mallory is 1851950588. It was assigned to this individual provider in the NPPES registry on June 6, 2019.

Where is Nicholas Mallory located?

Nicholas Mallory practices at 133 W Central Ave, Eagar, AZ 85925. The listed phone number is (928) 333-4121.

What is Nicholas Mallory's specialty?

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

What insurance does Nicholas Mallory accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Alabama and Blue Cross and Blue Shield of Montana and 11 other insurers list Nicholas Mallory as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicholas Mallory was last updated on June 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.