IndividualActive
Kyle Malloy, D.M.D.; M.S.
NPI 1457791592 · Periodontics · Portland, OR
Provider details
- NPI number
- 1457791592
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- D.M.D.; M.S.
- Sex
- Male
- Sole proprietor
- No
- License
- 100865 (CA)
Specialties & taxonomies
Dental Providers
Practice location
8931 Se Foster Rd
Portland, OR 97266-4661
Phone: (855) 433-6825
Approximate (ZIP-level) locationGet directions
Mailing address
6950 Ne Campus Way
Hillsboro, OR 97124-5611
Additional practice locations (1)
- 405 Se 133rd AvePortland, OR 97233-1809Phone: (855) 433-6825
Registry dates
- Enumerated
- 2013-07-03
- Last updated
- 2018-10-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.