Mallory Sanders, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6002180 Issued in WI

Practice address

N112W16286 Mequon Rd
Germantown, WI 53022-3306

Phone

(262) 683-5106

NPI assigned

May 27, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1779840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1487585501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N112W16286 MEQUON RD",
            "city": "GERMANTOWN",
            "state": "WI",
            "postal_code": "530223306",
            "telephone_number": "262-683-5106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N112W16286 MEQUON RD",
            "city": "GERMANTOWN",
            "state": "WI",
            "postal_code": "530223306",
            "telephone_number": "262-683-5106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "MALLORY",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-27",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "6002180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roundys Supermarkets Inc
• Ashley Russell
• Bradley Sachse, MS, LPC-IT, SACIT
• Mark J. Salisz, PA
• Carrie Sandberg, PT
• Kayla Elizabeth Sanfelippo
• Nicole Marie Sanfilippo, LCSW
• Susan Michele Santilli, OTR/L
• Lisa Santoro, PTA
• Elaine Sathe, MS, CCC-SLP

• General Practice Dentistry in Germantown, WI
• Providers in Germantown, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; 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.