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

First Colony Mall Dental PA

Organization General Practice Dentistry · NPI 1154738151

First Colony Mall Dental PA provides General Practice Dentistry in Sugar Land, Texas. Licensed in Texas. Registered with an NPI since 2014.

Licensed in
TX
In the registry since
2014
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

16535 SW Fwy 570
Sugar Land, TX 77479-2321 Not confirmed with CMS for 12 years — call before visiting
Phone: (954) 846-7171
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 27827 (TX)

Record details

NPI number1154738151
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rostislav Krasnov — Owner · (954) 846-7171
NPI enumeratedJuly 22, 2014
Last updated in NPPESJuly 22, 2014
Mailing address16535 Southwest Fwy, 570, Sugar Land, TX 77479-2321

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