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

Lauderhill Mall Dental, PA

Organization General Practice Dentistry · NPI 1285310011

Lauderhill Mall Dental, PA is a General Practice Dentistry in Lauderhill, Florida. Registered with an NPI since 2023.

In the registry since
2023
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

1249 NW 40th Ave
Lauderhill, FL 33313-5801
Phone: (954) 584-2214
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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 number1285310011
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rostislav Krasnov — Owner · (954) 584-2214
NPI enumeratedJune 26, 2023
Last updated in NPPESJune 26, 2023
Certification dateJune 26, 2023
Mailing address1249 Nw 40th Ave, Lauderhill, FL 33313-5801

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