Healthcare Provider Details

I. General information

NPI: 1841087913
Provider Name (Legal Business Name): HANNAH ROSE MALLOY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/22/2025
Last Update Date: 07/24/2025
Certification Date: 07/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 S MARKET ST
OTTUMWA IA
52501-2924
US

IV. Provider business mailing address

801 NEWTON RD
IOWA CITY IA
52242-8004
US

V. Phone/Fax

Practice location:
  • Phone: 641-683-5773
  • Fax:
Mailing address:
  • Phone: 319-335-7499
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223D0001X
TaxonomyPublic Health Dentistry
License NumberDDS-10355
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: