Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mallott Family Dental, Inc

Organization General Practice Dentistry · NPI 1457732208

Mallott Family Dental, Inc is a General Practice Dentistry in Columbia, Missouri. Licensed in Missouri. Registered with an NPI since 2015.

Licensed in
MO
In the registry since
2015
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3320 Bluff Creek Dr Ste 100
Columbia, MO 65201-3501
Phone: (573) 875-5336
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 2003102136 (MO)

Record details

NPI number1457732208
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Johnathan Mallott — President · (573) 875-5336
Other names Keen Dental Care
NPI enumeratedJune 17, 2015
Last updated in NPPESJune 17, 2015
Mailing address3320 Bluff Creek Dr, Suite 100, Columbia, MO 65201-3501

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