Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
SAWGRASS MILLS MALL DENTAL, PA
Active
Organization
SAWGRASS MILLS MALL DENTAL, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSTISLAV KRASNOV DDS (OWNER)
(954) 846-7171
Entity
Organization
Contact information
Practice address
165 NW 136TH AVE, #C110, SUNRISE, FL 33325-2624
(954) 846-7171
(954) 846-7170
Mailing address
165 NW 136TH AVE, #C110, SUNRISE, FL 33325-2624
(954) 846-7171
(954) 846-7170
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/25/2009
Last updated
07/17/2024
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