EDISON MALL DENTAL P.A NPI 1831500404
Dentist in Fort Myers, FL

About EDISON MALL DENTAL P.A

Edison Mall Dental P.a is a provider established in Fort Myers, Florida operating as a Dentist. The NPI number of Edison Mall Dental P.a is 1831500404 and was assigned on May 2014. The practitioner's primary taxonomy code is 122300000X with license number DN16377 (FL). The provider is registered as an organization and their NPI record was last updated 9 years ago. Edison Mall Dental P.a operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Rostislav Krasnov Dentist (Dds)

NPI
1831500404
Provider NameEDISON MALL DENTAL P.A
Location Address4125 CLEVELAND AVE SUITE 1430 FORT MYERS, FL 33901
Location Phone(954) 846-7171
Mailing Address4125 CLEVELAND AVE SUITE 1430 FORT MYERS, FL 33901
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date05-16-2014
Last Update Date05-16-2014

A dentist like Edison Mall Dental P.a is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work..



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code122300000X
ClassificationDentist
TypeDental Providers
License No.DN16377
License StateFL
Taxonomy DescriptionA 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.

Business Address

EDISON MALL DENTAL P.A
4125 CLEVELAND AVE
SUITE 1430
FORT MYERS, FL
ZIP 33901
Phone: (954) 846-7171

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Mailing Address

EDISON MALL DENTAL P.A
4125 CLEVELAND AVE
SUITE 1430
FORT MYERS, FL
ZIP 33901
Phone: (954) 846-7171


Location Map

Authorized Official

The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

Authorized Official Name ROSTISLAV KRASNOV DENTIST
Authorized Official TitleDDS
Authorized Official Phone(954) 846-7171

Group Taxonomy


193200000X MULTI-SPECIALTY GROUP - This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1831500404
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2861100040
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 6 + 1 + 1 + 0 + 0 + 0 + 4 + 0 + 24 = 46
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 46 = 44

The NPI number 1831500404 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1093776221C&D EYE CARE PA
Organization
Optometrist4125 CLEVELAND AVE SEARS OPTICAL STE 88
FORT MYERS, FL 33901
(239) 693-3937
1962431700NORMARK INC
Organization
Technician/Technologist (Optician)4125 CLEVELAND AVE SUITE 1765
FORT MYERS, FL 33901
(239) 936-0332
1013082494DR. JORDAN MILES KAY O.D.
Individual
Optometrist (Corneal and Contact Management)4125 CLEVELAND AVE SUITE #113
FORT MYERS, FL 33901
(239) 939-5393
1700033792CHARLES CASH INC.
Organization
Hearing Aid Equipment4125 CLEVELAND AVE SUITE 1415
FORT MYERS, FL 33901
(239) 936-4656
1003242066IN A BLINK EYE CARE INC
Organization
Optometrist4125 CLEVELAND AVE SUITE 88
FORT MYERS, FL 33901
(239) 275-1336
1932576113 IRENA SPIVAK
Individual
Dentist4125 CLEVELAND AVE SUITE 1430
FORT MYERS, FL 33901
(239) 939-9050
1174057954 GARRETT SCOTT DENNIS DMD
Individual
Dentist (General Practice)4125 CLEVELAND AVE SUITE 1430
FORT MYERS, FL 33901
(239) 939-9050
1821168741DR. DONNA JOY MANGATT O.D.
Individual
Optometrist4125 CLEVELAND AVE SEARS OPTICAL STE 88
FORT MYERS, FL 33901
(239) 693-3937

Frequently Asked Questions

What is EDISON MALL DENTAL P.A NPI number?

The NPI number assigned to EDISON MALL DENTAL P.A is 1831500404, registered as an "organization" on May 16, 2014

Where is EDISON MALL DENTAL P.A located?

The provider is located at 4125 Cleveland Ave Suite 1430 Fort Myers, Fl 33901 and the phone number is (954) 846-7171

What kind of medical provider is EDISON MALL DENTAL P.A?

This medical organization specializes in Dentist

How do I update my NPI information?

The NPI record of EDISON MALL DENTAL P.A was last updated on May 16, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]