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ALTAMONTE MALL DENTAL PA
NPI 1063768372
Dentist in Altamonte Springs, FL

Active since July 24, 2012
451 E ALTAMONTE DR STE 1279, ALTAMONTE SPRINGS, FL 32701(954) 846-7171(954) 846-7170 Get Directions Write a Review

NPPES record last updated: July 24, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Altamonte Mall Dental Pa NPPES

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

ALTAMONTE MALL DENTAL PA (NPI 1063768372) is a healthcare organization registered as a dentist in Altamonte Springs, Florida and active in the NPI registry since July 2012. The organization lists Rostislav Krasnov, Owner, as its authorized official.

NPPES Registry Identity

NPI1063768372
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameALTAMONTE MALL DENTAL PA
Location Address451 E ALTAMONTE DR STE 1279Altamonte Springs, FL 32701-4617
Mailing Address451 E Altamonte Dr Ste 1279Altamonte Springs, FL 32701-4617 · (954) 846-7171 · Fax (954) 846-7170
Phone(954) 846-7171
Fax(954) 846-7170
Organization SubpartNo
Authorized OfficialRostislav KrasnovOwner · (954) 846-7171
Enumeration DateJuly 24, 2012
✔ NPI 1063768372 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.
451 E ALTAMONTE DR STE 1279, Altamonte Springs, FL 32701
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include DentaQuest Insurance Company, Inc., Solstice Benefits, UnitedHealthcare.Insurance ›

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 Altamonte Mall Dental PA's NPI number?

The NPI number for Altamonte Mall Dental PA is 1063768372. It was assigned to this organization in the NPPES registry on July 24, 2012.

Where is Altamonte Mall Dental PA located?

Altamonte Mall Dental PA is located at 451 E Altamonte Dr Ste 1279, Altamonte Springs, FL 32701. The listed phone number is (954) 846-7171.

What is Altamonte Mall Dental PA's specialty?

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

What insurance does Altamonte Mall Dental PA accept?

Health plans from DentaQuest Insurance Company, Inc., Solstice Benefits and UnitedHealthcare list Altamonte Mall Dental PA 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 Altamonte Mall Dental PA was last updated on July 24, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.