OrganizationActive
Regency Square Mall Dental
NPI 1033465349 · Dentist · Jacksonville, FL
Regency Square Mall Dental is a Dentist organization in Jacksonville, FL (NPI 1033465349).
Provider details
- NPI number
- 1033465349
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Rostislav Krasnov, Owner(904) 727-6055
- License
- DN16377 (FL)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9501 Arlington Expy
Ste#0345
Jacksonville, FL 32225-8200
Phone: (904) 727-6055
Street-level locationGet directions
Mailing address
9501 Arlington Expy
Jacksonville, FL 32225-8200
Registry dates
- Enumerated
- 2012-07-24
- Last updated
- 2014-12-03
Frequently asked questions
- What is Regency Square Mall Dental's NPI number?
- Regency Square Mall Dental's National Provider Identifier (NPI) is 1033465349, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Regency Square Mall Dental?
- Regency Square Mall Dental is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Regency Square Mall Dental located?
- Regency Square Mall Dental's practice location on file with NPPES is 9501 Arlington Expy, Jacksonville, FL 32225-8200.
- What is Regency Square Mall Dental's phone number?
- The practice phone number listed in the NPPES registry for Regency Square Mall Dental is (904) 727-6055.
- Who is the authorized official for Regency Square Mall Dental?
- The authorized official listed on Regency Square Mall Dental's NPPES record is Rostislav Krasnov, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Regency Square Mall Dental's NPI active?
- Yes — Regency Square Mall Dental's NPI (1033465349) is active in the NPPES registry as of the last update on 2014-12-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.