College Dental Clinic Llc

LBN: College Dental Clinic Llc
College Dental Clinic Llc is an health care organization with primary practice located at 1176 S 1480 W , Orem UT 84058-4905. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. College Dental Clinic Llc can be contacted via phone (801) 426-0774, or through Molen, Kenneth via phone (801) 426-0774.

Contact Information

Primary practice address
1176 S 1480 W Orem UT 84058-4905
Phone: (801) 426-0774
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Molen, Kenneth Doctor of Dental Surgery (DDS)
Phone: (801) 426-0774

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X 9317729 Utah

Profile Details

NPI number 1720465875
LBN Legal business name College Dental Clinic Llc
DBA Doing business as
Authorized official Molen, Kenneth Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 28th, 2015
Last updated Apr 28th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers