GALLERIA MALL DENTAL PC
NPI 1023155470
Dentist - Orthodontics and Dentofacial Orthopedics in White Plains, NY

Active since February 01, 2007
100 MAIN ST, WHITE PLAINS, NY 10601(914) 997-9000 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Galleria Mall Dental Pc NPPES

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

GALLERIA MALL DENTAL PC (NPI 1023155470) is a healthcare organization registered as an orthodontics and dentofacial orthopedics in White Plains, New York and active in the NPI registry since February 2007. The organization lists Ross Krasnov, Owner, as its authorized official.

NPPES Registry Identity

NPI1023155470
Entity TypeOrganization
Primary Taxonomy1223X0400X
Legal Business NameGALLERIA MALL DENTAL PC
Location Address100 MAIN STWhite Plains, NY 10601-2601
Mailing Address100 Main StWhite Plains, NY 10601-2601 · (914) 997-9000
Organization SubpartNo
Authorized OfficialRoss KrasnovOwner · (914) 997-9000
Enumeration DateFebruary 1, 2007
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPI 1023155470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in NY · 048185
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 046043 (NY), 052674 (NY), 052119 (NY), 050148 (NY), 052112 (NY)
Also ListedDentist · Pediatric DentistryTaxonomy 1223P0221X · License 048760 (NY)
Also ListedDentist · PeriodonticsTaxonomy 1223P0300X · License 042707 (NY)
100 MAIN ST, White Plains, NY 10601

Other Identifiers 1

Medicaid02598167NY

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

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
100 MAIN ST, SUITE 201
WHITE PLAINS, NY 10601
Optometrist
100 MAIN ST
WHITE PLAINS, NY 10601
Physical Therapist
100 MAIN ST, UNIT 113A
WHITE PLAINS, NY 10601
Eyewear Supplier
100 MAIN ST
WHITE PLAINS, NY 10601
Optometrist
100 MAIN ST
WHITE PLAINS, NY 10601
Specialist/Technologist (Athletic Trainer)
100 MAIN ST, UNIT 100A
WHITE PLAINS, NY 10601
Optometrist
100 MAIN ST, THE GALLERIA MALL
WHITE PLAINS, NY 10601
Occupational Therapist
100 MAIN ST, UNIT 113A
WHITE PLAINS, NY 10601

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 Galleria Mall Dental PC's NPI number?

The NPI number for Galleria Mall Dental PC is 1023155470. It was assigned to this organization in the NPPES registry on February 1, 2007.

Where is Galleria Mall Dental PC located?

Galleria Mall Dental PC is located at 100 Main St, White Plains, NY 10601. The listed phone number is (914) 997-9000.

What is Galleria Mall Dental PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

When was this NPI record last updated?

The NPPES record for Galleria Mall Dental PC was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.