Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Mallott Family Dental, Inc

Organization General Practice Dentistry · NPI 1457732208

Mallott Family Dental, Inc provides General Practice Dentistry in Columbia, Missouri. Licensed in Missouri. Registered with an NPI since 2015.

Licensed in
MO
In the registry since
2015
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3320 Bluff Creek Dr Ste 100
Columbia, MO 65201-3501 Not confirmed with CMS for 11 years — call before visiting
Phone: (573) 875-5336
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 2003102136 (MO)

Record details

NPI number1457732208
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Johnathan Mallott — President · (573) 875-5336
Other names Keen Dental Care
NPI enumeratedJune 17, 2015
Last updated in NPPESJune 17, 2015
Mailing address3320 Bluff Creek Dr, Suite 100, Columbia, MO 65201-3501

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