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

Broward Mall Dental, PA

Organization General Practice Dentistry · NPI 1376766568

Broward Mall Dental, PA is a General Practice Dentistry in Plantation, Florida. Registered with an NPI since 2007.

In the registry since
2007
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

8000 W Broward Blvd Ste 834
Plantation, FL 33388-0023
Phone: (954) 476-0802
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1376766568
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rostislav Krasnov — Owner · (954) 476-0802
NPI enumeratedApril 10, 2007
Last updated in NPPESDecember 3, 2018
Mailing address8000 W Broward Blvd Ste 834, Plantation, FL 33388-0023

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