National Provider Identifier Database

MALLORY J HACKBARTH, DMD – NPI #1265880470
Endodontics

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.


Contact Information

MALLORY J HACKBARTH, DMD
105 BEN CASEY DR STE 121
FORT MILL, SC29708-8574
Phone: 803-802-3681
Fax:
Website:
Specialty Taxonomy Code
* Endodontics 1223E0200X
General Practice 1223G0001X
Student in an Organized Health Care Education/Training Program 390200000X

* Indicates primary specialty

NPI Profile & details for MALLORY J HACKBARTH

NPI Number 1265880470
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 05/27/2016
Last updated 12/03/2024 - More than a year ago
Sole proprietor1 Yes
Identifiers
  • SC License #: 10831
  • TN License #: 10500
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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