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

Boynton Beach Mall Dental PA

Organization General Practice Dentistry · NPI 1861053480

Boynton Beach Mall Dental PA is a General Practice Dentistry in Boynton Beach, Florida. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

801 N Congress Ave Ste 185D
Boynton Beach, FL 33426-3364
Phone: (561) 369-7199
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1861053480
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rostislav Krasnov — Owner · (561) 369-7199
NPI enumeratedJune 25, 2019
Last updated in NPPESJune 25, 2019
Mailing address801 N Congress Ave Ste 185d, Boynton Beach, FL 33426-3364

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