COUNTRYSIDE MALL DENTAL PA
NPI 1568023067
Dentist - General Practice in Clearwater, FL

Active since June 25, 2019
27001 US HIGHWAY 19 N STE 1031B, CLEARWATER, FL 33761(727) 669-1600 Get Directions Write a Review

NPPES record last updated: June 25, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Countryside Mall Dental Pa NPPES

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

COUNTRYSIDE MALL DENTAL PA (NPI 1568023067) is a healthcare organization registered as a general practice in Clearwater, Florida and active in the NPI registry since June 2019. The organization lists Rostislav Krasnov, Owner, as its authorized official.

NPPES Registry Identity

NPI1568023067
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCOUNTRYSIDE MALL DENTAL PA
Location Address27001 US HIGHWAY 19 N STE 1031BClearwater, FL 33761-3407
Mailing Address27001 Us Highway 19 N Ste 1031bClearwater, FL 33761-3407 · (727) 669-1600
Organization SubpartNo
Authorized OfficialRostislav KrasnovOwner · (727) 669-1600
Enumeration DateJune 25, 2019
NPI 1568023067 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.

27001 US HIGHWAY 19 N STE 1031B, Clearwater, FL 33761

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

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 Countryside Mall Dental PA's NPI number?

The NPI number for Countryside Mall Dental PA is 1568023067. It was assigned to this organization in the NPPES registry on June 25, 2019.

Where is Countryside Mall Dental PA located?

Countryside Mall Dental PA is located at 27001 Us Highway 19 N Ste 1031B, Clearwater, FL 33761. The listed phone number is (727) 669-1600.

What is Countryside 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 Countryside Mall Dental PA accept?

Health plans from Solstice Benefits and UnitedHealthcare list Countryside 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 Countryside Mall Dental PA was last updated on June 25, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.