OrganizationActive
Boynton Beach Mall Dental PA
NPI 1861053480 · General Practice Dentistry · Boynton Beach, FL
Boynton Beach Mall Dental PA is a General Practice Dentistry organization in Boynton Beach, FL (NPI 1861053480).
Provider details
- NPI number
- 1861053480
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Rostislav Krasnov, Owner(561) 369-7199
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
801 N Congress Ave Ste 185d
Boynton Beach, FL 33426-3364
Phone: (561) 369-7199
Street-level locationGet directions
Mailing address
801 N Congress Ave Ste 185d
Boynton Beach, FL 33426-3364
Registry dates
- Enumerated
- 2019-06-25
- Last updated
- 2019-06-25
Frequently asked questions
- What is Boynton Beach Mall Dental PA's NPI number?
- Boynton Beach Mall Dental PA's National Provider Identifier (NPI) is 1861053480, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Boynton Beach Mall Dental PA?
- Boynton Beach Mall Dental PA is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Boynton Beach Mall Dental PA located?
- Boynton Beach Mall Dental PA's practice location on file with NPPES is 801 N Congress Ave Ste 185d, Boynton Beach, FL 33426-3364.
- What is Boynton Beach Mall Dental PA's phone number?
- The practice phone number listed in the NPPES registry for Boynton Beach Mall Dental PA is (561) 369-7199.
- Who is the authorized official for Boynton Beach Mall Dental PA?
- The authorized official listed on Boynton Beach 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 Boynton Beach Mall Dental PA's NPI active?
- Yes — Boynton Beach Mall Dental PA's NPI (1861053480) 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.