Christopher M. Mallow DDS, PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

CHRISTOPHER M. MALLOW DDS, PC

Practice address

105 Giles Ave
Blissfield, MI 49228-1238

Phone

(517) 486-3379

NPI assigned

Apr 11, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Sheri Lynn Mallow

Title

Office Manager

Phone

(517) 486-3379

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christopher M Mallow, D.D.S

  • Dentist
  • Blissfield, MI
  • NPI 1568478584
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1649635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649635200000",
    "number": "1285376285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 98",
            "city": "BLISSFIELD",
            "state": "MI",
            "postal_code": "492280098",
            "telephone_number": "517-486-3379",
            "fax_number": "517-486-4635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 GILES AVE",
            "city": "BLISSFIELD",
            "state": "MI",
            "postal_code": "492281238",
            "telephone_number": "517-486-3379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER M. MALLOW DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-11",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A",
        "authorized_official_last_name": "MALLOW",
        "authorized_official_first_name": "SHERI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "517-486-3379",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Blissfield",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Blissfield",
            "address_1": "105 Giles Ave",
            "city": "Blissfield",
            "state": "MI",
            "country_code": "US",
            "postal_code": "492281238",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Linda Bedell, MD
• Blissfield Family Care PLLC
• Blissfield Internal Medicine
• Gretchen Herzburg Boyd
• Pamela Carlson
• Jacob Earl Clark, MS, AT, NR-EMT
• Elisa Coccimiglio, MD
• Convenient Lab Services LLC
• James R Creps, PT, DSCPT, OCS, CMPT
• Maura Ann Crescenzo, NP

• Dental Clinic/Center in Blissfield, MI
• Providers in Blissfield, MI by specialty
• Dental Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.