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 is a Dentist 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
Phone: (215) 356-6666
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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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