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

Boynton Beach Mall Dental PA

Organization General Practice Dentistry · NPI 1861053480

Boynton Beach Mall Dental PA provides General Practice Dentistry in Boynton Beach, Florida. Registered with an NPI since 2019.

In the registry since
2019
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

801 N Congress Ave Ste 185D
Boynton Beach, FL 33426-3364
Phone: (561) 369-7199
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1861053480
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rostislav Krasnov — Owner · (561) 369-7199
NPI enumeratedJune 25, 2019
Last updated in NPPESJune 25, 2019
Mailing address801 N Congress Ave Ste 185d, Boynton Beach, FL 33426-3364

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