IndividualActive
Susan Mallery, DDS
NPI 1083688865 · Oral and Maxillofacial Pathology Dentistry · Columbus, OH
Provider details
- NPI number
- 1083688865
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Pathology DentistryDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- License
- 30016966 (OH)
Specialties & taxonomies
Dental Providers
Practice location
305 W 12th Ave
College of Dentistry Ohio State University
Columbus, OH 43210-1267
Phone: (614) 292-5892
Fax: (614) 292-9384
Approximate (ZIP-level) locationGet directions
Mailing address
305 W 12th Ave
Columbus, OH 43210-1267
Registry dates
- Enumerated
- 2006-02-16
- Last updated
- 2012-03-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.