Mall Dental Group in Orem - General Practice
Mall Dental Group - NPI 1255357695
Mall Dental Group is a General Practice in Orem, Utah. Mall Dental Group practices all healthcare services and medical treatments related to General Practice. The NPI Number for Mall Dental Group is 1255357695. The last update date is 2020-08-22.
Mall Dental Group's current location address is 575 University Pkwy, Orem, Utah. You can contact this provider via phone number 8014266255 and fax number 8012242966. The mailing address for Mall Dental Group is 575 University Pkwy, Orem, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mall Dental Group |
|---|---|
| Address | 575 University Pkwy, Orem, Utah |
| Phone Number | 8014266255 |
| Fax Number | 8012242966 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Molen Alvin Kenneth |
| Credentials | D.D.S. |
| Telephone Number | 8014266255 |
NPI Number Detail
| NPI Number | 1255357695 |
|---|---|
| Provider Enumeration Date | 2006-07-15 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 575 University Pkwy |
|---|---|
| City | Orem |
| State | Utah (UT) |
| Post Code | 840977400 |
| Phone Number | 8014266255 |
| Fax Number | 8012242966 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 140195-9922 |
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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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 516323007001 | UT | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Mall Dental Group by the Centers for Medicare & Medicaid Services?
The Mall Dental Group has been issued the NPI (National Provider Identifier) 1255357695. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Mall Dental Group's physical address?
The Mall Dental Group is physically located at 575 University Pkwy, in the city of Orem, UT, with the postal code 840977400.
What is Mall Dental Group's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mall Dental Group's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.
On what date did the Mall Dental Group receive its 1255357695 assignment from the Centers for Medicare & Medicaid Services?
The Mall Dental Group was assigned its 1255357695 by the Centers for Medicare & Medicaid Services on 2006-07-15.
As of what date were the details related to Mall Dental Group most recently updated or revised?
The information pertaining to Mall Dental Group, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.
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