OrganizationActive
Countryside Mall Dental PA
NPI 1568023067 · General Practice Dentistry · Clearwater, FL
Countryside Mall Dental PA is a General Practice Dentistry organization in Clearwater, FL (NPI 1568023067).
Provider details
- NPI number
- 1568023067
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Rostislav Krasnov, Owner(727) 669-1600
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
27001 US Highway 19 N Ste 1031b
Clearwater, FL 33761-3407
Phone: (727) 669-1600
Street-level locationGet directions
Mailing address
27001 US Highway 19 N Ste 1031b
Clearwater, FL 33761-3407
Registry dates
- Enumerated
- 2019-06-25
- Last updated
- 2019-06-25
Frequently asked questions
- What is Countryside Mall Dental PA's NPI number?
- Countryside Mall Dental PA's National Provider Identifier (NPI) is 1568023067, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Countryside Mall Dental PA?
- Countryside Mall Dental PA is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Countryside Mall Dental PA located?
- Countryside Mall Dental PA's practice location on file with NPPES is 27001 US Highway 19 N Ste 1031b, Clearwater, FL 33761-3407.
- What is Countryside Mall Dental PA's phone number?
- The practice phone number listed in the NPPES registry for Countryside Mall Dental PA is (727) 669-1600.
- Who is the authorized official for Countryside Mall Dental PA?
- The authorized official listed on Countryside 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 Countryside Mall Dental PA's NPI active?
- Yes — Countryside Mall Dental PA's NPI (1568023067) is active in the NPPES registry as of the last update on 2019-06-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.