OrganizationActive
Mondawmin Mall Dental LLP
NPI 1629238571 · General Practice Dentistry · Baltimore, MD
Provider details
- NPI number
- 1629238571
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Rostislav Kraznov, Owner(786) 475-7600
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
2401 Liberty Heights Ave
Ste 3725
Baltimore, MD 21215-8019
Phone: (410) 225-0014
Street-level locationGet directions
Mailing address
2401 Liberty Heights Ave
Baltimore, MD 21215-8019
Registry dates
- Enumerated
- 2008-06-13
- Last updated
- 2014-12-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.