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MONDAWMIN MALL DENTAL LLP
NPI 1629238571
Dentist - General Practice in Baltimore, MD

Active since June 13, 2008
2401 LIBERTY HEIGHTS AVE, STE 3725, BALTIMORE, MD 21215(410) 225-0014 Get Directions Write a Review

NPPES record last updated: December 4, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mondawmin Mall Dental Llp NPPES

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

MONDAWMIN MALL DENTAL LLP (NPI 1629238571) is a healthcare organization registered as a general practice in Baltimore, Maryland and active in the NPI registry since June 2008. The organization lists Rostislav Kraznov, Owner, as its authorized official.

NPPES Registry Identity

NPI1629238571
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMONDAWMIN MALL DENTAL LLP
Location Address2401 LIBERTY HEIGHTS AVE, STE 3725Baltimore, MD 21215-8019
Mailing Address2401 Liberty Heights Ave, Ste 3725Baltimore, MD 21215-8019 · (410) 225-0014
Phone(410) 225-0014
Organization SubpartNo
Authorized OfficialRostislav KraznovOwner · (786) 475-7600
Enumeration DateJune 13, 2008
Last NPPES UpdateDecember 4, 2014
✔ NPI 1629238571 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.
2401 LIBERTY HEIGHTS AVE, Baltimore, MD 21215
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 17

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

TOTAL HEALTH CARE INC
Clinic/Center (Federally Qualified Health Center (FQHC))
2401 LIBERTY HEIGHTS AVE
BALTIMORE, MD 21215
Baltimore City (410) 383-8300
CHRISTA ANN MCGONIGAL LCSW-C
Social Worker (Clinical)
2401 LIBERTY HEIGHTS AVE, SUITE 4670
BALTIMORE, MD 21215
Baltimore City (410) 233-1088
MRS. DIONNE MEBANE-ASHTON CRNP
Nurse Practitioner (Pediatrics)
2401 LIBERTY HEIGHTS AVE
BALTIMORE, MD 21215
Baltimore City (410) 383-8300
CHANGE HEALTH SYSTEMS, INC.
Community/Behavioral Health
2401 LIBERTY HEIGHTS AVE, SUITE 4670
BALTIMORE, MD 21215
Baltimore City (410) 233-1088
BRENDA SANTOSUS LCPC
Counselor (Professional)
2401 LIBERTY HEIGHTS AVE
BALTIMORE, MD 21215
Baltimore City (410) 233-1088
TOTAL HEALTH CARE INC
Pharmacy (Community/Retail Pharmacy)
2401 LIBERTY HEIGHTS AVE, 111-113
BALTIMORE, MD 21215
Baltimore City (410) 735-5382
CHANGE HEALTH SYSTEMS INC
Early Intervention Provider Agency
2401 LIBERTY HEIGHTS AVE, SUITE 4670
BALTIMORE, MD 21215
Baltimore City (410) 233-1088
DR. ARETHUSA STEVENS KIRK MD
Pediatrics
2401 LIBERTY HEIGHTS AVE
BALTIMORE, MD 21215
Baltimore City (410) 383-8300

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 Mondawmin Mall Dental LLP's NPI number?

The NPI number for Mondawmin Mall Dental LLP is 1629238571. It was assigned to this organization in the NPPES registry on June 13, 2008.

Where is Mondawmin Mall Dental LLP located?

Mondawmin Mall Dental LLP is located at 2401 Liberty Heights Ave Ste 3725, Baltimore, MD 21215. The listed phone number is (410) 225-0014.

What is Mondawmin Mall Dental LLP's specialty?

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

When was this NPI record last updated?

The NPPES record for Mondawmin Mall Dental LLP was last updated on December 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.