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

Nicholas T Mallory DMD PLLC

Organization General Practice Dentistry · NPI 1053234377

Nicholas T Mallory DMD PLLC is a General Practice Dentistry in Eagar, Arizona. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

133 W Central Avenue Po Box 430
Eagar, AZ 85925
Phone: (928) 333-4121
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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

Record details

NPI number1053234377
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicholas Mallory — Owner · (928) 240-3285
NPI enumeratedAugust 3, 2026
Last updated in NPPESAugust 3, 2026
Certification dateJuly 21, 2026
Mailing address133 West Central Avenue, Po Box 430, Eagar, AZ 85925

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