Dr. Susan Regina Mallery
DDS | Oral and Maxillofacial Pathologist | 44+ years Exp
305 W 12th Ave, College Of Dentistry Ohio State University, Columbus
Ohio, 43210-1267
614-292-5892 614-292-9384
Maps & DirectionsDr. Susan Regina Mallery is a Columbus, Ohio based Oral and Maxillofacial Pathologist with
44 years of experience in
Oral and Maxillofacial Pathology. She completed her graduation from
Ohio State University College Of Dentistry in 1981. She may accept the Medicare-approved amount. Patients may be billed for more than the Medicare deductible and coinsurance. Active license number of Dr. Susan Regina Mallery is
30016966 for Oral and Maxillofacial Pathology in Ohio. Her current practice location is
305 W 12th Ave, College Of Dentistry Ohio State University, Columbus. Patients can reach her at
614-292-5892.
Dr. Susan Regina Mallery is specialized in that branch of dentistry and pathology which deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations.
Complete Profile:
Dr. Susan Regina Mallery speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Susan Regina Mallery |
| Specialization: | Oral and Maxillofacial Pathologist |
| Gender: | Female |
| Credentials: | DDS |
| Experience: | 44+ years |
| Medical School Attended: | Ohio State University College Of Dentistry |
| Graduation Year: | 1981 |
| Accepts Medicare Assignment: | May Accept |
| Practice Address: | 305 W 12th Ave, College Of Dentistry Ohio State University, Columbus,
Ohio, 43210-1267 |
| Phone: | 614-292-5892 |
| Fax: | 614-292-9384 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 3274782370 |
| Enrollment ID: | I20121004000860 |
| NPI Number: | 1083688865 |
| NPI Enumeration Date: | 16 Feb, 2006 |
| NPI Last Update On: | 08 Mar, 2012 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Susan Regina Mallery are as mentioned below.
| License Number | Specialization | State | Status | |
| 30016966 | Oral and Maxillofacial Pathology | Ohio | Primary | |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Susan Regina Mallery is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Oral Pathology Consultants Laboratory, Llc - John R Kalmar, Dmd Phd (1153675970) | 4 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 305 W 12th Ave, College Of Dentistry Ohio State University
Columbus, Ohio |
| Zip: | 43210-1267 |
| Phone Number: | 614-292-5892 |
| Fax Number: | 614-292-9384 |
Patients can reach Dr. Susan Regina Mallery at
305 W 12th Ave, College Of Dentistry Ohio State University, Columbus, Ohio or can
call to book an appointment on 614-292-5892.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.