BOYNTON BEACH MALL DENTAL PA
NPI 1861053480
Dentist - General Practice in Boynton Beach, FL

Active since June 25, 2019
801 N CONGRESS AVE STE 185D, BOYNTON BEACH, FL 33426(561) 369-7199 Get Directions Write a Review

NPPES record last updated: June 25, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Boynton Beach Mall Dental Pa NPPES

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

BOYNTON BEACH MALL DENTAL PA (NPI 1861053480) is a healthcare organization registered as a general practice in Boynton Beach, Florida and active in the NPI registry since June 2019. The organization lists Rostislav Krasnov, Owner, as its authorized official.

NPPES Registry Identity

NPI1861053480
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBOYNTON BEACH MALL DENTAL PA
Location Address801 N CONGRESS AVE STE 185DBoynton Beach, FL 33426-3364
Mailing Address801 N Congress Ave Ste 185dBoynton Beach, FL 33426-3364 · (561) 369-7199
Organization SubpartNo
Authorized OfficialRostislav KrasnovOwner · (561) 369-7199
Enumeration DateJune 25, 2019
NPI 1861053480 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.
801 N CONGRESS AVE STE 185D, Boynton Beach, FL 33426

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

Other Providers at the Same Location NPPES

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

Dentist
801 N CONGRESS AVE STE 185D
BOYNTON BEACH, FL 33426

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 Boynton Beach Mall Dental PA's NPI number?

The NPI number for Boynton Beach Mall Dental PA is 1861053480. It was assigned to this organization in the NPPES registry on June 25, 2019.

Where is Boynton Beach Mall Dental PA located?

Boynton Beach Mall Dental PA is located at 801 N Congress Ave Ste 185D, Boynton Beach, FL 33426. The listed phone number is (561) 369-7199.

What is Boynton Beach 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 Boynton Beach Mall Dental PA accept?

Health plans from Ambetter Health, Ambetter of Alabama and DentaQuest Insurance Company, Inc. list Boynton Beach 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 Boynton Beach Mall Dental PA was last updated on June 25, 2019. 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.