Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
LAUDERHILL MALL DENTAL, PA
Active
Organization
LAUDERHILL MALL DENTAL, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSTISLAV KRASNOV DDS (OWNER)
(954) 584-2214
Entity
Organization
Contact information
Practice address
1249 NW 40TH AVE, LAUDERHILL, FL 33313-5801
(954) 584-2214
Mailing address
1249 NW 40TH AVE, LAUDERHILL, FL 33313-5801
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up