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

Dr. Mallory Jane Hackbarth, DMD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1265880470

Dr. Mallory Jane Hackbarth, DMD is a Student in an Organized Health Care Education/Training Program in Fort Mill, South Carolina. Practices as a sole proprietor. Licensed in South Carolina and Tennessee.

Licensed in
SC, TN
In the registry since
2016
Specialties on file
3
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

105 Ben Casey Dr Ste 121
Fort Mill, SC 29708-8574
Phone: (803) 802-3681
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Endodontics (primary) Taxonomy 1223E0200X · Licence 10831 (SC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
General Practice Dentistry Taxonomy 1223G0001X · Licence 10500 (TN)

Record details

NPI number1265880470
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorYes
NPI enumeratedMay 27, 2016
Last updated in NPPESDecember 3, 2024
Certification dateDecember 3, 2024
Mailing address105 Ben Casey Dr Ste 121, Fort Mill, SC 29708-8574

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