Mall Dental Group
Mall Dental Group is a healthcare organization registered as General Practice Dentistry in Orem, UT, holding Type 2 (organization) NPI 1255357695 since 2006. The authorized official on file is Kenneth Molen, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1255357695 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Mall Dental Group |
| Other name | <Unavail> |
| Practice address | 575 UNIVERSITY PKWY, I163, Orem, UT, 84097 |
| Phone | 8014266255 |
| Fax | 8012242966 |
| Enumeration date | 2006-07-15 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Kenneth Molen |
|---|---|
| Title | Owner |
| Phone | 8014266255 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223G0001X | General Practice Dentistry | Primary | 140195-9922 | UT |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 516323007001 | Medicaid | UT | — |
Copy-ready billing details
Provider: Mall Dental Group NPI: 1255357695 Taxonomy: 1223G0001X (General Practice Dentistry) Address: 575 UNIVERSITY PKWY, I163, Orem, UT, 84097
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1326001124 | Bart Hamblin | Individual | Optometrist | Orem, UT |
| 1851499677 | Vision Experts Inc. | Organization | Eyewear Supplier | Orem, UT |
| 1407925308 | Clark Hicken | Individual | General Practice Dentistry | Orem, UT |
Verify this record
Cross-check NPI 1255357695 against the authoritative CMS record: view Mall Dental Group on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
How current is this record?
Where is Mall Dental Group located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.