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LAUDERHILL MALL DENTAL, PA
NPI 1285310011
Dentist - General Practice in Lauderhill, FL

Active since June 26, 2023
1249 NW 40TH AVE, LAUDERHILL, FL 33313(954) 584-2214 Get Directions Write a Review

NPPES record last updated: June 26, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Lauderhill Mall Dental, Pa NPPES

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

LAUDERHILL MALL DENTAL, PA (NPI 1285310011) is a healthcare organization registered as a general practice in Lauderhill, Florida and active in the NPI registry since June 2023. The organization lists Rostislav Krasnov, Owner, as its authorized official.

NPPES Registry Identity

NPI1285310011
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameLAUDERHILL MALL DENTAL, PA
Location Address1249 NW 40TH AVELauderhill, FL 33313-5801
Mailing Address1249 Nw 40th AveLauderhill, FL 33313-5801
Phone(954) 584-2214
Organization SubpartNo
Authorized OfficialRostislav KrasnovOwner · (954) 584-2214
Enumeration DateJune 26, 2023
NPPES CertifiedJune 26, 2023
✔ NPI 1285310011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

1249 NW 40TH AVE, Lauderhill, FL 33313
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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 Ambetter Health, Ambetter of Alabama, DentaQuest Insurance Company, Inc. and more.Insurance ›

Frequently Asked Questions

What is LAUDERHILL MALL DENTAL, PA's NPI number?

The NPI number assigned to this healthcare provider is 1285310011, enumerated as an "organization" on June 26, 2023.

Where is the provider located?

The provider is located at 1249 NW 40TH AVE LAUDERHILL, FL 33313 and the phone number is (954) 584-2214.

What is the provider's specialty?

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

What insurance does LAUDERHILL MALL DENTAL, PA accept?

The provider might be accepting Accepts: Ambetter Health, Ambetter of Alabama, DentaQuest. Please consult your insurance carrier or call the provider to verify.