MARK J MALY ESTATE
NPI 1649883364
Clinic/Center - Dental in Orangeville, IL

Active since August 24, 2020
103 S MAIN ST # PO, ORANGEVILLE, IL 61060(815) 789-4611 Get Directions Write a Review

NPPES record last updated: August 24, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mark J Maly Estate NPPES

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

MARK J MALY ESTATE (NPI 1649883364), doing business as Mark Maly Dental, is a healthcare organization registered as a dental in Orangeville, Illinois and active in the NPI registry since August 2020. The organization lists Penny Bose, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1649883364
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameMARK J MALY ESTATE
Location Address103 S MAIN ST # POOrangeville, IL 61060-9244
Mailing AddressPo Box 456Orangeville, IL 61060-0456 · (815) 789-4611 · Fax (815) 789-4612
Organization SubpartNo
Authorized OfficialPenny BoseOffice Manager · (815) 789-4611
Enumeration DateAugust 24, 2020
NPPES CertifiedAugust 24, 2020
NPI 1649883364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
103 S MAIN ST # PO, Orangeville, IL 61060

Other Names 1

Doing Business AsMark Maly Dental

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 Mark J Maly Estate's NPI number?

The NPI number for Mark J Maly Estate is 1649883364. It was assigned to this organization in the NPPES registry on August 24, 2020. The provider is doing business as Mark Maly Dental.

Where is Mark J Maly Estate located?

Mark J Maly Estate is located at 103 S Main St # PO, Orangeville, IL 61060. The listed phone number is (815) 789-4611.

What is Mark J Maly Estate's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Mark J Maly Estate was last updated on August 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.