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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.

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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?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-08-22. Verify at npiregistry.cms.hhs.gov.
Where is Mall Dental Group located?
The practice location on file with NPPES is in Orem, UT.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.