OrganizationActive
Mark J Maly Estate
NPI 1649883364 · Dental Clinic/Center · Orangeville, IL
Mark J Maly Estate is a Dental Clinic/Center organization in Orangeville, IL (NPI 1649883364).
Provider details
- NPI number
- 1649883364
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Penny Bose, Office Manager(815) 789-4611
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
103 S Main St # Po
Orangeville, IL 61060-9244
Phone: (815) 789-4611
Street-level locationGet directions
Mailing address
Po Box 456
Orangeville, IL 61060-0456
Other names (DBA / former)
- Doing business as
- Mark Maly Dental
Registry dates
- Enumerated
- 2020-08-24
- Last updated
- 2020-08-24
- Certified
- 2020-08-24
Frequently asked questions
- What is Mark J Maly Estate's NPI number?
- Mark J Maly Estate's National Provider Identifier (NPI) is 1649883364, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mark J Maly Estate?
- Mark J Maly Estate is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Mark J Maly Estate located?
- Mark J Maly Estate's practice location on file with NPPES is 103 S Main St # Po, Orangeville, IL 61060-9244.
- What is Mark J Maly Estate's phone number?
- The practice phone number listed in the NPPES registry for Mark J Maly Estate is (815) 789-4611.
- Who is the authorized official for Mark J Maly Estate?
- The authorized official listed on Mark J Maly Estate's NPPES record is Penny Bose, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mark J Maly Estate's NPI active?
- Yes — Mark J Maly Estate's NPI (1649883364) is active in the NPPES registry as of the last update on 2020-08-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.