BRANDON MALL DENTAL P.A.
NPI 1922419597
Dentist in Brandon, FL

Q: What is Brandon Mall Dental P.A.'s NPI number?

The NPI number for Brandon Mall Dental P.A. is 1922419597. It was assigned to this organization in the NPPES registry on May 16, 2014.

Q: What is Brandon Mall Dental P.A.'s specialty?

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

Active since May 16, 2014

675 BRANDON TOWN CENTER MALL, BRANDON, FL 33511(954) 846-7171 Get Directions Write a Review

NPPES record last updated: May 16, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Brandon Mall Dental P.a. NPPES

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

BRANDON MALL DENTAL P.A. (NPI 1922419597) is a healthcare organization registered as a dentist in Brandon, Florida and active in the NPI registry since May 2014. The organization lists Rostislav Krasnov, Dds, as its authorized official.

NPPES Registry Identity

NPI1922419597

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameBRANDON MALL DENTAL P.A.

Location Address675 BRANDON TOWN CENTER MALLBrandon, FL 33511-4770

Mailing Address675 Brandon Town Center MallBrandon, FL 33511-4770 · (954) 846-7171

Phone(954) 846-7171

Organization SubpartNo

Authorized OfficialRostislav KrasnovDds · (954) 846-7171

Enumeration DateMay 16, 2014

✔ NPI 1922419597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in FL · DN16377

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.

675 BRANDON TOWN CENTER MALL, Brandon, FL 33511

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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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, DentaQuest Insurance Company, Inc. and more.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.

DR. YAMINI GOPANI DDS, MS

Dentist (Orthodontics and Dentofacial Orthopedics)

675 BRANDON TOWN CENTER MALL
BRANDON, FL 33511

Hillsborough County (727) 669-1600

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 Brandon Mall Dental P.A.'s NPI number?

The NPI number for Brandon Mall Dental P.A. is 1922419597. It was assigned to this organization in the NPPES registry on May 16, 2014.

Where is Brandon Mall Dental P.A. located?

Brandon Mall Dental P.A. is located at 675 Brandon Town Center Mall, Brandon, FL 33511. The listed phone number is (954) 846-7171.

What is Brandon Mall Dental P.A.'s specialty?

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

What insurance does Brandon Mall Dental P.A. accept?

Health plans from Ambetter Health, Ambetter of Alabama, DentaQuest Insurance Company, Inc., Solstice Benefits and UnitedHealthcare list Brandon Mall Dental P.A. 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 Brandon Mall Dental P.A. was last updated on May 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.