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SAWGRASS MILLS MALL DENTAL, PA
NPI 1306088133
Dentist - General Practice in Sunrise, FL

Active since March 25, 2009
165 NW 136TH AVE, #C110, SUNRISE, FL 33325(954) 846-7171(954) 846-7170 Get Directions Write a Review

NPPES record last updated: July 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 17, 2024, Dec 3, 2018 (2 updates tracked since 2018).

About Sawgrass Mills Mall Dental, Pa NPPES

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

SAWGRASS MILLS MALL DENTAL, PA (NPI 1306088133) is a healthcare organization registered as a general practice in Sunrise, Florida and active in the NPI registry since March 2009. The organization lists Rostislav Krasnov, Owner, as its authorized official.

NPPES Registry Identity

NPI1306088133
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSAWGRASS MILLS MALL DENTAL, PA
Location Address165 NW 136TH AVE, #C110Sunrise, FL 33325-2624
Mailing Address165 Nw 136th Ave, #c110Sunrise, FL 33325-2624 · (954) 846-7171 · Fax (954) 846-7170
Phone(954) 846-7171
Fax(954) 846-7170
Organization SubpartNo
Authorized OfficialRostislav KrasnovOwner · (954) 846-7171
Enumeration DateMarch 25, 2009
Last NPPES UpdateJuly 17, 20242 updates tracked since enumeration
NPPES CertifiedJuly 17, 2024
✔ NPI 1306088133 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.
165 NW 136TH AVE, Sunrise, FL 33325
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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 NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sawgrass Mills Mall Dental, PA's NPI number?

The NPI number for Sawgrass Mills Mall Dental, PA is 1306088133. It was assigned to this organization in the NPPES registry on March 25, 2009.

Where is Sawgrass Mills Mall Dental, PA located?

Sawgrass Mills Mall Dental, PA is located at 165 NW 136th Ave #c110, Sunrise, FL 33325. The listed phone number is (954) 846-7171.

What is Sawgrass Mills Mall Dental, PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Sawgrass Mills Mall Dental, PA accept?

Health plans from Ambetter Health, Ambetter of Alabama, DentaQuest Insurance Company, Inc., Solstice Benefits and UnitedHealthcare list Sawgrass Mills 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 Sawgrass Mills Mall Dental, PA was last updated on July 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.