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COLLEGE DENTAL CLINIC LLC
NPI 1720465875
Clinic/Center - Dental in Orem, UT

Active since April 28, 2015

NPPES record last updated: April 28, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About College Dental Clinic Llc NPPES

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

COLLEGE DENTAL CLINIC LLC (NPI 1720465875) is a healthcare organization registered as a dental in Orem, Utah and active in the NPI registry since April 2015. The organization lists Kenneth Molen, Owner, as its authorized official.

NPPES Registry Identity

NPI1720465875
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameCOLLEGE DENTAL CLINIC LLC
Location Address1176 S 1480 WOrem, UT 84058-4905
Mailing Address1176 S 1480 WOrem, UT 84058-4905 · (801) 426-0774
Phone(801) 426-0774
Organization SubpartNo
Authorized OfficialKenneth MolenOwner · (801) 426-0774
Enumeration DateApril 28, 2015
✔ NPI 1720465875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in UT · 9317729
1176 S 1480 W, Orem, UT 84058
Open in Google Maps ↗

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KENNETH ALVIN MOLEN D.D.S.
Dentist (General Practice)
1176 S 1480 W
OREM, UT 84058
Utah County (801) 426-8234
DR. JASON DAVID ALLAN DDS
Dentist
1176 S 1480 W
OREM, UT 84058
Utah County (801) 426-0774

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 College Dental Clinic LLC's NPI number?

The NPI number for College Dental Clinic LLC is 1720465875. It was assigned to this organization in the NPPES registry on April 28, 2015.

Where is College Dental Clinic LLC located?

College Dental Clinic LLC is located at 1176 S 1480 W, Orem, UT 84058. The listed phone number is (801) 426-0774.

What is College Dental Clinic LLC'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 College Dental Clinic LLC was last updated on April 28, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.