Susan Regina Mallery, DDS
Oral and Maxillofacial Pathology Dentistry · Columbus, OH
Susan Regina Mallery, DDS is an oral and maxillofacial pathology dentistry with a practice address in Columbus, Ohio, and NPI 1083688865, issued on Feb 16, 2006. Check the license (Ohio 30016966, as entered in NPPES) with the Ohio board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Susan Regina Mallery
- Credential
- DDS
- Primary taxonomy
- Oral and Maxillofacial Pathology Dentistry 1223P0106X
- License number
- 30016966 OH
Self-reported in NPPES; status is on the state search - Practice location
- 305 W 12TH Ave, Columbus, OH 43210
- Phone
- (614) 292-5892
- Enumerated
- Feb 16, 2006
- Record last updated
- Mar 8, 2012 (not updated in 14 years: call before relying on the address or phone)
- Fax
- (614) 292-9384
- Medicare enrollment
- Enrolled (PECOS I20121004000860); may accept Medicare assignment
- Medical or professional school
- Ohio State University College Of Dentistry, 1981
- Entity
- Type 1 · individual
8 nearest oral and maxillofacial pathology dentistry records → All 31 in Ohio → Look up another NPI →
Also registered at 305 W 12TH Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Saria Abdullah, DDSProsthodontics1902564891
- Aktham Adams, DDSOral and Maxillofacial Surgery (Dentist)1518582089
- Jeremy Adams, DDSPediatric Dentistry1528625704
- Abdulmalik AldawoodPeriodontics1417793159
- Thomas Aloe, DMDEndodontics1124868591
- Rami Alsabbagh, DDSPeriodontics1063145274
Verify Susan Regina Mallery in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Ohio board licenses this profession
Search for license 30016966Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Oral Pathology Consultants Laboratory, LLC - John R Kalmar, Dmd PhdColumbus, OH
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Susan Regina Mallery among 31 oral and maxillofacial pathology dentistry records in Ohio
Susan Regina Mallery, DDS is one of 31 oral and maxillofacial pathology dentistry records with a practice address in Ohio. 55% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 10% of them.
- NPI issued2006 · 10% of these records are older, 61% newer
- In a Medicare fileYes · 55% of these records are
- In the CMS Doctors and Clinicians fileYes · 35% of these records are
- Graduated1981 · median 2003 among the 11 with a school on file
- Record last updated2012 · 61% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 1223P0106X and a Ohio practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Oral and Maxillofacial Pathology Dentistry providers in Ohio
There are 31 oral and maxillofacial pathology dentistry records in Ohio.
All 31 in Ohio → Every provider in Columbus → Oral and Maxillofacial Pathology Dentistry nationwide →
The 8 oral and maxillofacial pathology dentistry records with the nearest ZIP codes
- Christine Harrington, DDS, MSColumbus, OH 432101649239625
- Mark Hochberg, D.M.D.Columbus, OH 432101861478398
- Sehrish Javaid, BDS,MS,PHDColumbus, OH 432101932722204
- Mehak KaulColumbus, OH 432101487207387
- Amber Kiyani, DDSColumbus, OH 432101770925380
- Gisele Mainville, D.M.D.Columbus, OH 432101912200239
- Vimi MutalikColumbus, OH 432101093181380
- Kelly Podlosky, D.D.SColumbus, OH 432101427257401
Common questions
What is Susan Regina Mallery, DDS's NPI number?
Susan Regina Mallery, DDS's National Provider Identifier (NPI) is 1083688865, issued on Feb 16, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Susan Regina Mallery, DDS located?
The NPPES record lists a practice address at 305 W 12TH Ave, Columbus, OH, 43210. Phone: (614) 292-5892. Providers update this record themselves, so call before visiting.
How can I verify Susan Regina Mallery, DDS's license?
NPPES lists Ohio license number 30016966, as entered by the provider. Search the Ohio board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.