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

Regency Square Mall Dental

Organization Dentist · NPI 1033465349

Regency Square Mall Dental is a Dentist in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2012.

Licensed in
FL
In the registry since
2012

Practice location Address checks out

9501 Arlington Expy STE#0345
Jacksonville, FL 32225-8200
Phone: (904) 727-6055
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 number1033465349
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rostislav Krasnov — Owner · (904) 727-6055
NPI enumeratedJuly 24, 2012
Last updated in NPPESDecember 3, 2014
Mailing address9501 Arlington Expy, Ste#0345, Jacksonville, FL 32225-8200

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