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

Miami International Mall Dental, PA

Organization General Practice Dentistry · NPI 1528247533

Miami International Mall Dental, PA is a General Practice Dentistry in Miami, 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

10457 SW 40th St
Miami, FL 33165-3753
Phone: (305) 597-8787
Fax: (305) 597-8617
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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 number1528247533
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rostislav Krasnov — Owner · (305) 597-8787
NPI enumeratedOctober 25, 2007
Last updated in NPPESSeptember 26, 2024
Certification dateSeptember 26, 2024
Mailing address10457 Sw 40th St, Miami, FL 33165-3753

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