Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Miami International Mall Dental, PA

Organization General Practice Dentistry · NPI 1528247533

Miami International Mall Dental, PA provides General Practice Dentistry in Miami, Florida. Registered with an NPI since 2007.

In the registry since
2007
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

10457 SW 40th St
Miami, FL 33165-3753
Phone: (305) 597-8787
Fax: (305) 597-8617
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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

Record details

NPI number1528247533
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rostislav Krasnov — Owner · (305) 597-8787
NPI enumeratedOctober 25, 2007
Last updated in NPPESSeptember 26, 2024
Certification dateSeptember 26, 2024
Mailing address10457 Sw 40th St, Miami, FL 33165-3753

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