Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Montgomery Mall Dental, LLP

Organization Dentist · NPI 1770821761

Montgomery Mall Dental, LLP provides Dentist services in North Wales, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2013.

Licensed in
PA
In the registry since
2013
What do these letters mean?
LLP — Limited liability partnership
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

154 Montgomery Mall
North Wales, PA 19454-3909 Not confirmed with CMS for 13 years — call before visiting
Phone: (215) 356-6666
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DS038562 (PA)

Record details

NPI number1770821761
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Viktoriya Shaakova — Office Manager · (215) 362-5666
NPI enumeratedJanuary 25, 2013
Last updated in NPPESJanuary 25, 2013
Mailing address154 Montgomery Mall, North Wales, PA 19454-3909

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