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ANGELINA ALEKSEEVNA MITIANOVA
NPI 1578361069
Dentist in Fort Lauderdale, FL

Active since March 03, 2025
1324 SE 17TH ST, FORT LAUDERDALE, FL 33316(954) 998-3527 Get Directions Write a Review

NPPES record last updated: May 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 28, 2026, May 17, 2026, Mar 3, 2025 (3 updates tracked since 2025).

About Angelina Alekseevna Mitianova NPPES

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

ANGELINA ALEKSEEVNA MITIANOVA (NPI 1578361069) is an individual dentist in Fort Lauderdale, Florida, licensed in Florida (DN30997) and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1578361069
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameANGELINA ALEKSEEVNA MITIANOVA
Location Address1324 SE 17TH STFort Lauderdale, FL 33316-1708
Mailing Address1324 Se 17th StFort Lauderdale, FL 33316-1708 · (305) 440-8694
Phone(954) 998-3527
Sole ProprietorNo
Enumeration DateMarch 3, 2025
Last NPPES UpdateMay 28, 20263 updates tracked since enumeration
NPPES CertifiedMay 28, 2026
✔ NPI 1578361069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in FL · DN30997
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1324 SE 17TH ST, Fort Lauderdale, FL 33316
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Other Names 1

Other Name (5)Angelina Alekseevna Semenova

Other Providers at the Same Location NPPES 2

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

VICTORIA ADCOCK
Nurse Practitioner
1324 SE 17TH ST
FORT LAUDERDALE, FL 33316
Broward County (859) 559-2619
MILLENNIUM AESTHETICS
Dentist (General Practice)
1324 SE 17TH ST
FORT LAUDERDALE, FL 33316
Broward County (954) 998-3527

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 Angelina Mitianova's NPI number?

The NPI number for Angelina Mitianova is 1578361069. It was assigned to this individual provider in the NPPES registry on March 3, 2025. The provider is also known as Angelina Alekseevna Semenova.

Where is Angelina Mitianova located?

Angelina Mitianova practices at 1324 SE 17th St, Fort Lauderdale, FL 33316. The listed phone number is (954) 998-3527.

What is Angelina Mitianova's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Angelina Mitianova was last updated on May 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.