REGENCY SQUARE MALL DENTAL
NPI 1033465349
Dentist in Jacksonville, FL

Active since July 24, 2012
9501 ARLINGTON EXPY, STE#0345, JACKSONVILLE, FL 32225(904) 727-6055 Get Directions Write a Review

NPPES record last updated: December 3, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Regency Square Mall Dental NPPES

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

REGENCY SQUARE MALL DENTAL (NPI 1033465349) is a healthcare organization registered as a dentist in Jacksonville, Florida and active in the NPI registry since July 2012. The organization lists Rostislav Krasnov, Owner, as its authorized official.

NPPES Registry Identity

NPI1033465349
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameREGENCY SQUARE MALL DENTAL
Location Address9501 ARLINGTON EXPY, STE#0345Jacksonville, FL 32225-8200
Mailing Address9501 Arlington Expy, Ste#0345Jacksonville, FL 32225-8200 · (904) 727-6055
Organization SubpartNo
Authorized OfficialRostislav KrasnovOwner · (904) 727-6055
Enumeration DateJuly 24, 2012
Last NPPES UpdateDecember 3, 2014
NPI 1033465349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in FL · DN16377
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.
9501 ARLINGTON EXPY, Jacksonville, FL 32225

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

Accepted Insurance

Other Providers at the Same Location NPPES 3

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

Dentist (General Practice)
9501 ARLINGTON EXPY
JACKSONVILLE, FL 32225
Optometrist
9501 ARLINGTON EXPY, INSIDE LENSCRAFTERS
JACKSONVILLE, FL 32225
Optometrist
9501 ARLINGTON EXPY, 340E
JACKSONVILLE, FL 32225

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 Regency Square Mall Dental's NPI number?

The NPI number for Regency Square Mall Dental is 1033465349. It was assigned to this organization in the NPPES registry on July 24, 2012.

Where is Regency Square Mall Dental located?

Regency Square Mall Dental is located at 9501 Arlington Expy Ste#0345, Jacksonville, FL 32225. The listed phone number is (904) 727-6055.

What is Regency Square Mall Dental's specialty?

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

What insurance does Regency Square Mall Dental accept?

Health plans from Ambetter Health, Ambetter of Alabama, Solstice Benefits and UnitedHealthcare list Regency Square Mall Dental as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Regency Square Mall Dental was last updated on December 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.