St. John, Mallary N
St. John, Mallary N is an sole proprietor health care provider with primary practice located at 700 Childrens Dr , Columbus OH 43205. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is her primary health care specialty. St. John, Mallary N can be contacted via phone (614) 722-2207.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 30025062 | Ohio |
| Dental Providers / Pediatric Dentistry | 1223P0221X | 30025062 | Ohio |
Profile Details
| NPI number | 1942748173 |
|---|---|
| LBN Legal business name | St. John, Mallary N |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 8th, 2017 |
| Last updated | Jul 24th, 2018 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942748173 | NPPES |
| Ohio | MEDICAID | 0276116 |
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