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

Southland Mall Dental, PA

Organization Dentist · NPI 1023381183

Southland Mall Dental, PA is a Dentist in Cutler Bay, Florida. Registered with an NPI since 2012.

In the registry since
2012
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

20505 S Dixie Hwy Ste 1683
Cutler Bay, FL 33189-1229
Phone: (305) 245-0308
Fax: (954) 846-7170
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1023381183
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rostislav Krasnov — Owner · (305) 245-0308
NPI enumeratedFebruary 20, 2012
Last updated in NPPESDecember 3, 2018
Mailing address20505 S Dixie Hwy, Ste 1683, Cutler Bay, FL 33189-1229

Other providers in Cutler Bay