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

Dr. Marie Mallory, DDS

Individual provider Dentist · NPI 1083812556

Dr. Marie Mallory, DDS is a Dentist in Santa Rosa, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
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

76 Doctors Park Dr
Santa Rosa, CA 95405-6615
Phone: (707) 542-7800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 43815 (CA)

Record details

NPI number1083812556
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedJuly 6, 2007
Last updated in NPPESJuly 8, 2007

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