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

Dr. Susan Regina Mallery, DDS

Individual provider Oral and Maxillofacial Pathology Dentistry · NPI 1083688865

Dr. Susan Regina Mallery, DDS is a Pathology in Columbus, Ohio. Graduated from Ohio State University College of Dentistry in 1981, 45 years ago. Practices with Oral Pathology Consultants Laboratory, LLC - John R Kalmar, DMD PHD, a 2-clinician group. Licensed in Ohio.

Years since qualifying
45
Trained at
Ohio State University College of Dentistry
Licensed in
OH
In the registry since
2006
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

305 W 12th Ave College Of Dentistry Ohio State University
Columbus, OH 43210-1267
Phone: (614) 292-5892
Fax: (614) 292-9384
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Pathology Dentistry (primary) Taxonomy 1223P0106X · Licence 30016966 (OH)

Record details

NPI number1083688865
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedFebruary 16, 2006
Last updated in NPPESMarch 8, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPATHOLOGY
Medical schoolOHIO STATE UNIVERSITY COLLEGE OF DENTISTRY
Graduated 1981 (45 years in practice)
Group practice Oral Pathology Consultants Laboratory, Llc - John R Kalmar, Dmd Phd — 2 clinicians
Accepts Medicare assignment Not indicated

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