OrganizationActive
Lauderhill Mall Dental, PA
NPI 1285310011 · General Practice Dentistry · Lauderhill, FL
Lauderhill Mall Dental, PA is a General Practice Dentistry organization in Lauderhill, FL (NPI 1285310011).
Provider details
- NPI number
- 1285310011
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Rostislav Krasnov, Owner(954) 584-2214
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
1249 Nw 40th Ave
Lauderhill, FL 33313-5801
Phone: (954) 584-2214
Street-level locationGet directions
Mailing address
1249 Nw 40th Ave
Lauderhill, FL 33313-5801
Registry dates
- Enumerated
- 2023-06-26
- Last updated
- 2023-06-26
- Certified
- 2023-06-26
Frequently asked questions
- What is Lauderhill Mall Dental, PA's NPI number?
- Lauderhill Mall Dental, PA's National Provider Identifier (NPI) is 1285310011, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lauderhill Mall Dental, PA?
- Lauderhill Mall Dental, PA is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Lauderhill Mall Dental, PA located?
- Lauderhill Mall Dental, PA's practice location on file with NPPES is 1249 Nw 40th Ave, Lauderhill, FL 33313-5801.
- What is Lauderhill Mall Dental, PA's phone number?
- The practice phone number listed in the NPPES registry for Lauderhill Mall Dental, PA is (954) 584-2214.
- Who is the authorized official for Lauderhill Mall Dental, PA?
- The authorized official listed on Lauderhill 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 Lauderhill Mall Dental, PA's NPI active?
- Yes — Lauderhill Mall Dental, PA's NPI (1285310011) is active in the NPPES registry as of the last update on 2023-06-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.