William a. Mallard, D.D.S., PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

WILLIAM A. MALLARD, D.D.S., PLLC

Practice address

11201 W Point Dr Ste 100
Knoxville, TN 37934-2833

Phone

(865) 309-4020

NPI assigned

Jun 5, 2024

Last updated

Jun 5, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. William Andrew Mallard, DDSNPI 1780091132

Title

Owner

Phone

(731) 445-4007

Specialties & licenses 1

Addresses

Other names 1

• Knox Tot Pediatric Dentistry Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William Andrew Mallard, D.D.S

  • Pediatric Dentistry
  • Knoxville, TN
  • NPI 1780091132
  NPD Authorized official

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

{
    "created_epoch": "1717545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717545600000",
    "number": "1427899285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6821 HAVERHILL DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379092612",
            "telephone_number": "731-445-4007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11201 W POINT DR STE 100",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379342833",
            "telephone_number": "865-309-4020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM A. MALLARD, D.D.S., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-05",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A",
        "authorized_official_last_name": "MALLARD",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "731-445-4007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Knox Tot Pediatric Dentistry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jay C Willard Jr., PT, DPT
• Katie Ingram Willard, CPNP
• Kayleigh Willemain
• Jo J Willey, DSW
• Sydney Willhite
• William H Smartt DDS PC
• William M Hogan, MD, PC
• William M. Hogan, MD, PLLC
• William P. Holt, DPM
• Dara Leigh Williams Hitson

• Dental Clinic/Center in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Dental Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.