OrganizationActive
Sawgrass Mills Mall Dental, PA
NPI 1306088133 · General Practice Dentistry · Sunrise, FL
Sawgrass Mills Mall Dental, PA is a General Practice Dentistry organization in Sunrise, FL (NPI 1306088133).
Provider details
- NPI number
- 1306088133
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Rostislav Krasnov, Owner(954) 846-7171
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
165 Nw 136th Ave
#c110
Sunrise, FL 33325-2624
Phone: (954) 846-7171
Fax: (954) 846-7170
Street-level locationGet directions
Mailing address
165 Nw 136th Ave
Sunrise, FL 33325-2624
Registry dates
- Enumerated
- 2009-03-25
- Last updated
- 2024-07-17
- Certified
- 2024-07-17
Frequently asked questions
- What is Sawgrass Mills Mall Dental, PA's NPI number?
- Sawgrass Mills Mall Dental, PA's National Provider Identifier (NPI) is 1306088133, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sawgrass Mills Mall Dental, PA?
- Sawgrass Mills Mall Dental, PA is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Sawgrass Mills Mall Dental, PA located?
- Sawgrass Mills Mall Dental, PA's practice location on file with NPPES is 165 Nw 136th Ave, Sunrise, FL 33325-2624.
- What is Sawgrass Mills Mall Dental, PA's phone number?
- The practice phone number listed in the NPPES registry for Sawgrass Mills Mall Dental, PA is (954) 846-7171.
- Who is the authorized official for Sawgrass Mills Mall Dental, PA?
- The authorized official listed on Sawgrass Mills 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 Sawgrass Mills Mall Dental, PA's NPI active?
- Yes — Sawgrass Mills Mall Dental, PA's NPI (1306088133) is active in the NPPES registry as of the last update on 2024-07-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.