Dr Stephen C Mallow, DDS | |
8791 Petersbug Pike, Upper Tract, WV 26866-8016 | |
(304) 358-7200 | |
(304) 358-7284 |
Full Name | Dr Stephen C Mallow |
---|---|
Gender | Male |
Speciality | Dentist |
Location | 8791 Petersbug Pike, Upper Tract, West Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720185523 | NPI | - | NPPES |
0136526000 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 2529 (West Virginia) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Stephen C Mallow, DDS 8791 Petersbug Pike, Upper Tract, WV 26866-8016 Ph: (304) 358-7200 | Dr Stephen C Mallow, DDS 8791 Petersbug Pike, Upper Tract, WV 26866-8016 Ph: (304) 358-7200 |
Dr. Siera Mallow, DDS Dentist Medicare: Medicare Enrolled Practice Location: 9030 Petersburg Pike, Upper Tract, WV 26866 Phone: 304-358-7200 | |
Dr. Christopher Stephen Mallow, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 9030 Petersburg Pike, Upper Tract, WV 26866 Phone: 304-358-7284 |