BROWARD MALL DENTAL, PA
NPI 1376766568
Dentist - General Practice in Plantation, FL

Q: What is Broward Mall Dental, PA's NPI number?

The NPI number for Broward Mall Dental, PA is 1376766568. It was assigned to this organization in the NPPES registry on April 10, 2007.

Q: What is Broward Mall Dental, PA's specialty?

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

Active since April 10, 2007

8000 W BROWARD BLVD STE 834, PLANTATION, FL 33388(954) 476-0802 Get Directions Write a Review

NPPES record last updated: December 3, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Broward Mall Dental, Pa NPPES

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

BROWARD MALL DENTAL, PA (NPI 1376766568) is a healthcare organization registered as a general practice in Plantation, Florida and active in the NPI registry since April 2007. The organization lists Rostislav Krasnov, Owner, as its authorized official.

NPPES Registry Identity

NPI1376766568

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameBROWARD MALL DENTAL, PA

Location Address8000 W BROWARD BLVD STE 834Plantation, FL 33388-0023

Mailing Address8000 W Broward Blvd Ste 834Plantation, FL 33388-0023 · (954) 476-0802

Phone(954) 476-0802

Organization SubpartNo

Authorized OfficialRostislav KrasnovOwner · (954) 476-0802

Enumeration DateApril 10, 2007

Last NPPES UpdateDecember 3, 2018

✔ NPI 1376766568 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.

8000 W BROWARD BLVD STE 834, Plantation, FL 33388

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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 Broward Mall Dental, PA's NPI number?

The NPI number for Broward Mall Dental, PA is 1376766568. It was assigned to this organization in the NPPES registry on April 10, 2007.

Where is Broward Mall Dental, PA located?

Broward Mall Dental, PA is located at 8000 W Broward Blvd Ste 834, Plantation, FL 33388. The listed phone number is (954) 476-0802.

What is Broward 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 Broward Mall Dental, PA accept?

Health plans from Ambetter Health, Ambetter of Alabama, DentaQuest Insurance Company, Inc., Solstice Benefits and UnitedHealthcare list Broward 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 Broward Mall Dental, PA was last updated on December 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.