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

Charles Brent Mallin, DDS

Individual provider General Practice Dentistry · NPI 1750573960

Charles Brent Mallin, DDS is a General Practice Dentistry in Clayton, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2007
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

8000 Bonhomme Ave Ste 401 Ste 401
Clayton, MO 63105-3515
Phone: (314) 727-2288
Fax: (314) 727-2285
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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 11962 (MO)

Record details

NPI number1750573960
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedAugust 11, 2007
Last updated in NPPESAugust 11, 2007

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