Mall Dental Group is a Dental Clinic in Orem, Utah. It is located at 575 University Pkwy, I163, Orem, UT and its contact number is 801-426-6255. The authorized person for Mall Dental Group is Dr. Kenneth Alvin Molen
who is Owner of the clinic and their contact number is 801-426-6255. The primary license number for Mall Dental Group is 140195-9922 (General Practice) in Utah.
Mall Dental Group Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Mall Dental Group Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Mall Dental Group |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 575 University Pkwy, I163, Orem,
Utah, 84097-7400 |
| Phone: | 801-426-6255 |
| Fax: | 801-224-2966 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Kenneth Alvin Molen |
| Position: | Owner |
| Contact Number: | 801-426-6255 |
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 for Mall Dental Group clinic are as mentioned below.
| NPI Number: | 1255357695 |
| NPI Enumeration Date: | 15 Jul, 2006 |
| NPI Last Update On: | 22 Aug, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mall Dental Group are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | 140195-9922 | Utah | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 516323007001 | Medicaid | Utah | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Mall Dental Group
575 University Pkwy, I163
Orem, Utah |
| Zip: | 84097-7400 |
| Phone Number: | 801-426-6255 |
| Fax Number: | 801-224-2966 |
Patients can reach Mall Dental Group at
575 University Pkwy, I163, Orem, Utah or can
call to book an appointment on 801-426-6255.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.