OrganizationActive
Broward Mall Dental, PA
NPI 1376766568 · General Practice Dentistry · Plantation, FL
Broward Mall Dental, PA is a General Practice Dentistry organization in Plantation, FL (NPI 1376766568).
Provider details
- NPI number
- 1376766568
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Rostislav Krasnov, Owner(954) 476-0802
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
8000 W Broward Blvd Ste 834
Plantation, FL 33388-0023
Phone: (954) 476-0802
Street-level locationGet directions
Mailing address
8000 W Broward Blvd Ste 834
Plantation, FL 33388-0023
Registry dates
- Enumerated
- 2007-04-10
- Last updated
- 2018-12-03
Frequently asked questions
- What is Broward Mall Dental, PA's NPI number?
- Broward Mall Dental, PA's National Provider Identifier (NPI) is 1376766568, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Broward Mall Dental, PA?
- Broward Mall Dental, PA is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Broward Mall Dental, PA located?
- Broward Mall Dental, PA's practice location on file with NPPES is 8000 W Broward Blvd Ste 834, Plantation, FL 33388-0023.
- What is Broward Mall Dental, PA's phone number?
- The practice phone number listed in the NPPES registry for Broward Mall Dental, PA is (954) 476-0802.
- Who is the authorized official for Broward Mall Dental, PA?
- The authorized official listed on Broward 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 Broward Mall Dental, PA's NPI active?
- Yes — Broward Mall Dental, PA's NPI (1376766568) is active in the NPPES registry as of the last update on 2018-12-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.