OrganizationActive
Altamonte Mall Dental PA
NPI 1063768372 · Dentist · Altamonte Springs, FL
Altamonte Mall Dental PA is a Dentist organization in Altamonte Springs, FL (NPI 1063768372).
Provider details
- NPI number
- 1063768372
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Rostislav Krasnov, Owner(954) 846-7171
- License
- DN16377 (FL)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
451 E Altamonte Dr Ste 1279
Altamonte Springs, FL 32701-4617
Phone: (954) 846-7171
Fax: (954) 846-7170
Street-level locationGet directions
Mailing address
451 E Altamonte Dr Ste 1279
Altamonte Springs, FL 32701-4617
Registry dates
- Enumerated
- 2012-07-24
- Last updated
- 2012-07-24
Frequently asked questions
- What is Altamonte Mall Dental PA's NPI number?
- Altamonte Mall Dental PA's National Provider Identifier (NPI) is 1063768372, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Altamonte Mall Dental PA?
- Altamonte Mall Dental PA is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Altamonte Mall Dental PA located?
- Altamonte Mall Dental PA's practice location on file with NPPES is 451 E Altamonte Dr Ste 1279, Altamonte Springs, FL 32701-4617.
- What is Altamonte Mall Dental PA's phone number?
- The practice phone number listed in the NPPES registry for Altamonte Mall Dental PA is (954) 846-7171.
- Who is the authorized official for Altamonte Mall Dental PA?
- The authorized official listed on Altamonte Mall Dental PA's NPPES record is Rostislav Krasnov, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Altamonte Mall Dental PA's NPI active?
- Yes — Altamonte Mall Dental PA's NPI (1063768372) is active in the NPPES registry as of the last update on 2012-07-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.