Malan Dental PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

MALAN DENTAL PC

Practice address

3860 Jackson Ave
Ste 5
Ogden, UT 84403-1956

Phone

(801) 394-3767

NPI assigned

Nov 29, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Andre M Malan

Title

Owner

Phone

(801) 394-3767

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1480377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480377600000",
    "number": "1457894149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3860 JACKSON AVE",
            "address_2": "STE 5",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844031956",
            "telephone_number": "801-394-3767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3860 JACKSON AVE",
            "address_2": "STE 5",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844031956",
            "telephone_number": "801-394-3767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALAN DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-29",
        "last_updated": "2016-11-29",
        "status": "A",
        "authorized_official_last_name": "MALAN",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-394-3767"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lacey Magee
• Daniel Mahana
• Dennis Major
• Kaycee Jo Majoris
• Mirna Makowski
• Brielle Malan
• Cloie Malan, RD
• Colette Malan, LCSW
• Grace Malan
• Lee Jeppson Malan, MD

• Dentist in Ogden, UT
• Providers in Ogden, UT by specialty
• Dentist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.