Hackbarth, Mallory Jane

Hackbarth, Mallory Jane is an sole proprietor health care provider with primary practice located at 105 Ben Casey Dr Ste 121 , Fort Mill SC 29708-8574. She recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Endodontics, Dental Providers / General Practice. Dental Providers / Endodontics is her primary health care specialty. Hackbarth, Mallory Jane can be contacted via phone (803) 802-3681.

Contact Information

Primary practice address
105 Ben Casey Dr Ste 121 Fort Mill SC 29708-8574
Phone: (803) 802-3681
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / Endodontics 1223E0200X 10831 South Carolina
Dental Providers / General Practice 1223G0001X 10500 Tennessee

Profile Details

NPI number 1265880470
LBN Legal business name Hackbarth, Mallory Jane
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 27th, 2016
Last updated Dec 3rd, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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