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Dr. Mallory Jane Hackbarth, DMD
General Practice Dentistry in Fort Mill, South Carolina
NPI 1265880470

Mallory Jane Hackbarth is a General Practice Dentistry based in Fort Mill, SC and is specialized in General Practice. Mallory Jane Hackbarth practices in Fort Mill, SC and has the professional credentials of DMD. The NPI Number for Mallory Jane Hackbarth is 1265880470 and holds a License No. (South Carolina).

The current practice location address for Mallory Jane Hackbarth is 105 Ben Casey Dr Ste 121, Fort Mill, SC and can be reached out via phone at 803-802-3681.

Location: 105 Ben Casey Dr Ste 121, Fort Mill, SC, 29708-8574
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265880470
Provider Name
Mallory Jane Hackbarth
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
105 Ben Casey Dr Ste 121, Fort Mill, SC, 29708-8574
Phone Number
803-802-3681
Fax Number
Provider Enumeration Date
05/27/2016
Last Update Date
12/14/2024
institution
Provider Business Practice Location Address Details
Address
105 Ben Casey Dr Ste 121
City
Fort Mill
State
South Carolina
Zip
29708-8574
Phone Number
803-802-3681
Fax Number
person
Provider Business Mailing Address Details
Address
105 Ben Casey Dr Ste 121
City
Fort Mill
State
South Carolina
Zip
29708-8574
Phone Number
803-802-3681
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Endodontics
Taxonomy
1223E0200X
License No.
10500 (Tennessee)
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
10831 (South Carolina)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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