OrganizationActive
Brandon Mall Dental P.A.
NPI 1922419597 · Dentist · Brandon, FL
Brandon Mall Dental P.A. is a Dentist organization in Brandon, FL (NPI 1922419597).
Provider details
- NPI number
- 1922419597
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Rostislav Krasnov, DDS(954) 846-7171
- License
- DN16377 (FL)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
675 Brandon Town Center Mall
Brandon, FL 33511-4770
Phone: (954) 846-7171
Street-level locationGet directions
Mailing address
675 Brandon Town Center Mall
Brandon, FL 33511-4770
Registry dates
- Enumerated
- 2014-05-16
- Last updated
- 2014-05-16
Frequently asked questions
- What is Brandon Mall Dental P.A.'s NPI number?
- Brandon Mall Dental P.A.'s National Provider Identifier (NPI) is 1922419597, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Brandon Mall Dental P.A.?
- Brandon Mall Dental P.A. is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Brandon Mall Dental P.A. located?
- Brandon Mall Dental P.A.'s practice location on file with NPPES is 675 Brandon Town Center Mall, Brandon, FL 33511-4770.
- What is Brandon Mall Dental P.A.'s phone number?
- The practice phone number listed in the NPPES registry for Brandon Mall Dental P.A. is (954) 846-7171.
- Who is the authorized official for Brandon Mall Dental P.A.?
- The authorized official listed on Brandon Mall Dental P.A.'s NPPES record is Rostislav Krasnov, DDS. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Brandon Mall Dental P.A.'s NPI active?
- Yes — Brandon Mall Dental P.A.'s NPI (1922419597) is active in the NPPES registry as of the last update on 2014-05-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.