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

Individual provider Dental Hygienist · NPI 1467920892

Mallory Edmondson, MSDH, RDH is a Dental Hygienist in South Bend, Indiana. Licensed in Indiana. Registered with an NPI since 2018.

Licensed in
IN
In the registry since
2018
What do these letters mean?
RDH — Registered Dental Hygienist
A licensed hygienist who cleans teeth and screens for oral disease.

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Practice location Address checks out

1002 S Esther St
South Bend, IN 46615-1440
Phone: (219) 363-8866
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Hygienist (primary) Taxonomy 124Q00000X · Licence 13007311A (IN)

Record details

NPI number1467920892
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSDH , RDH
Sole proprietorNo
NPI enumeratedNovember 3, 2018
Last updated in NPPESNovember 3, 2018

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