Autumn Chase Rosalia Maloney, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2026024641 Issued in MO

Practice address

608 Woodlawn Ave
O Fallon, MO 63366-2521

Phone

(217) 779-4029

NPI assigned

Jun 10, 2026

Sex

Female

Sole proprietor

Yes

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Magnolia Lane Dental of O Fallon LLC

  • General Practice Dentistry
  • O Fallon, MO
  • NPI 1285560847
  NPD (past) Authorized official

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

{
    "created_epoch": "1781049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1699609149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 SUNNYSIDE ESTATES CT",
            "city": "DARDENNE PRAIRIE",
            "state": "MO",
            "postal_code": "633687617",
            "telephone_number": "217-779-4029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 WOODLAWN AVE",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633662521",
            "telephone_number": "217-779-4029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALONEY",
        "first_name": "AUTUMN",
        "middle_name": "CHASE ROSALIA",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-06-10",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2026024641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Maliszewski
• Abigail Elizabeth Malloy, RDN, LDN
• Gerard J Malnar, M.D.
• Megan Malone, D.C.
• Miranda Dawn Malone, LE, LTA
• Vivek K Manchanda, MD
• Tom Joseph Mann, RNFA
• Brian C Manning, MPT
• Jordan Marcinczyk
• Paul Richard Marion, PLPC

• General Practice Dentistry in O Fallon, MO
• Providers in O Fallon, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.