MISS ROSE A MALKOVICH CLDA
NPI 1497061766
Dental Assistant in Minneapolis, MN

Q: What is Rose Malkovich's NPI number?

The NPI number for Rose Malkovich is 1497061766. It was assigned to this individual provider in the NPPES registry on August 25, 2010. The provider is also known as Mrs. Rose A Lee.

Q: What is Rose Malkovich's specialty?

The primary specialty registered for this NPI is Dental Assistant with taxonomy code 126800000X.

Q: When was this NPI record last updated?

The NPPES record for Rose Malkovich was last updated on August 25, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 25, 2010

3657 MINNEHAHA AVE, MINNEAPOLIS, MN 55406(612) 721-1689 Get Directions Write a Review

NPPES record last updated: August 25, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Miss Rose A Malkovich Clda NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS ROSE A MALKOVICH CLDA (NPI 1497061766) is an individual dental assistant in Minneapolis, Minnesota, licensed in Minnesota (A4520) and active in the NPI registry since August 2010.

NPPES Registry Identity

NPI1497061766

Entity TypeIndividualFemale

Primary Taxonomy126800000X

Provider Legal NameMISS ROSE A MALKOVICHCredential: CLDA

Location Address3657 MINNEHAHA AVEMinneapolis, MN 55406-2628

Mailing Address3657 Minnehaha AveMinneapolis, MN 55406-2628 · (612) 721-1689

Phone(612) 721-1689

Sole ProprietorNo

Enumeration DateAugust 25, 2010

✔ NPI 1497061766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental AssistantDental Providers

Taxonomy Code126800000X

License✔ Licensed in MN · A4520

Definition

An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary.

3657 MINNEHAHA AVE, Minneapolis, MN 55406

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Other Names 1

Former Name (1)Mrs. Rose A Lee

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rose Malkovich's NPI number?

The NPI number for Rose Malkovich is 1497061766. It was assigned to this individual provider in the NPPES registry on August 25, 2010. The provider is also known as Mrs. Rose A Lee.

Where is Rose Malkovich located?

Rose Malkovich practices at 3657 Minnehaha Ave, Minneapolis, MN 55406. The listed phone number is (612) 721-1689.

What is Rose Malkovich's specialty?

The primary specialty registered for this NPI is Dental Assistant with taxonomy code 126800000X.

When was this NPI record last updated?

The NPPES record for Rose Malkovich was last updated on August 25, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.