Dr. Robert William Malloy Jr., DMD
Dentist, Orthodontics and Dentofacial Orthopedics in Bozeman, MT. Individual provider (NPI-1).
NPI number1053426536
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1053426536
- Entity type
- Individual (NPI-1)
- Name
- Dr. Robert William Malloy Jr.
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 21, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | 2043 | MT | Yes |
Practice location
101 N 10th AveBozeman, MT 59715-3203
Phone 406-587-1811 · Fax 406-585-0295
Mailing address
101 N 10th AveBozeman, MT 59715-3203
Phone 406-587-1811 · Fax 406-585-0295
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All 14 Orthodontics and Dentofacial Orthopedics Dentistry providers in Bozeman · All 3,190 providers in Bozeman
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