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

Dr. Randall O. Mallett, DDS

Individual provider Dentist · NPI 1467574400

Dr. Randall O. Mallett, DDS is a Dentist in Stockton, California. Licensed in California. Registered with an NPI since 2007.

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

3414 Brookside Rd Ste 200
Stockton, CA 95219-1786
Phone: (209) 475-1100
Fax: (209) 475-1166
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D28197 (CA)

Record details

NPI number1467574400
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedApril 3, 2007
Last updated in NPPESMarch 27, 2013

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