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STATEN ISLAND MALL DENTAL, P.C.
NPI 1013139237
Dentist in Staten Island, NY

Active since May 03, 2007
2655 RICHMOND AVENUE, 2220, STATEN ISLAND, NY 10314(718) 982-5500(718) 982-5554 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Staten Island Mall Dental, P.c. NPPES

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

STATEN ISLAND MALL DENTAL, P.C. (NPI 1013139237) is a healthcare organization registered as a dentist in Staten Island, New York and active in the NPI registry since May 2007. The organization lists Ross Krasnov, Dentist, as its authorized official.

NPPES Registry Identity

NPI1013139237
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameSTATEN ISLAND MALL DENTAL, P.C.
Location Address2655 RICHMOND AVENUE, 2220Staten Island, NY 10314
Mailing Address2655 Richmond Avenue, 2220Staten Island, NY 10314 · (718) 982-5500 · Fax (718) 982-5554
Phone(718) 982-5500
Fax(718) 982-5554
Organization SubpartNo
Authorized OfficialRoss KrasnovDentist · (718) 982-5500
Enumeration DateMay 3, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1013139237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in NY · 046-043
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
2655 RICHMOND AVENUE, Staten Island, NY 10314
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Staten Island Mall Dental, P.C.'s NPI number?

The NPI number for Staten Island Mall Dental, P.C. is 1013139237. It was assigned to this organization in the NPPES registry on May 3, 2007.

Where is Staten Island Mall Dental, P.C. located?

Staten Island Mall Dental, P.C. is located at 2655 Richmond Avenue 2220, Staten Island, NY 10314. The listed phone number is (718) 982-5500.

What is Staten Island Mall Dental, P.C.'s specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Staten Island Mall Dental, P.C. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.