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

Dr. Mallory Jane Hackbarth, DMD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1265880470

Dr. Mallory Jane Hackbarth, DMD is a Student in an Organized Health Care Education/Training Program in Fort Mill, South Carolina. Practices as a sole proprietor. Licensed in South Carolina and Tennessee.

Licensed in
SC, TN
In the registry since
2016
Specialties on file
3
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Fort Mill, SC

Specialties & licences

Endodontics (primary) Taxonomy 1223E0200X · Licence 10831 (SC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
General Practice Dentistry Taxonomy 1223G0001X · Licence 10500 (TN)

Record details

NPI number1265880470
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorYes
NPI enumeratedMay 27, 2016
Last updated in NPPESDecember 3, 2024
Certification dateDecember 3, 2024

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