Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Altamonte Mall Dental PA

Organization Dentist · NPI 1063768372

Altamonte Mall Dental PA is a Dentist in Altamonte Springs, Florida. Licensed in Florida. Registered with an NPI since 2012.

Licensed in
FL
In the registry since
2012
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

451 E Altamonte Dr Ste 1279
Altamonte Springs, FL 32701-4617
Phone: (954) 846-7171
Fax: (954) 846-7170
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN16377 (FL)

Record details

NPI number1063768372
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rostislav Krasnov — Owner · (954) 846-7171
NPI enumeratedJuly 24, 2012
Last updated in NPPESJuly 24, 2012
Mailing address451 E Altamonte Dr Ste 1279, Altamonte Springs, FL 32701-4617

Other providers in Altamonte Springs