WILLOWBROOK MALL DENTAL
NPI 1316287717
Dentist - General Practice in Houston, TX

Active since February 21, 2013
1684 WILLOWBROOK MALL, HOUSTON, TX 77070(917) 902-9515 Get Directions Write a Review

NPPES record last updated: February 21, 2013. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Willowbrook Mall Dental NPPES

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

WILLOWBROOK MALL DENTAL (NPI 1316287717) is a healthcare organization registered as a general practice in Houston, Texas and active in the NPI registry since February 2013. The organization lists Rostislav Krasnov, Owner, as its authorized official.

NPPES Registry Identity

NPI1316287717
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameWILLOWBROOK MALL DENTAL
Location Address1684 WILLOWBROOK MALLHouston, TX 77070-6027
Mailing Address1684 Willowbrook MallHouston, TX 77070-6027 · (917) 902-9515
Organization SubpartNo
Authorized OfficialRostislav KrasnovOwner · (917) 902-9515
Enumeration DateFebruary 21, 2013
NPI 1316287717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in FL · DN16377
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.
1684 WILLOWBROOK MALL, Houston, TX 77070

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

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

Dentist (General Practice)
1684 WILLOWBROOK MALL
HOUSTON, TX 77070

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 Willowbrook Mall Dental's NPI number?

The NPI number for Willowbrook Mall Dental is 1316287717. It was assigned to this organization in the NPPES registry on February 21, 2013.

Where is Willowbrook Mall Dental located?

Willowbrook Mall Dental is located at 1684 Willowbrook Mall, Houston, TX 77070. The listed phone number is (917) 902-9515.

What is Willowbrook Mall Dental's specialty?

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

What insurance does Willowbrook Mall Dental accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 1 other insurer list Willowbrook 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 Willowbrook Mall Dental was last updated on February 21, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.