BOYNTON BEACH MALL DENTAL PA


Address: 801 N Congress Ave Ste 185d, Boynton Beach, FL 33426-3364
Phone: 5613697199

BOYNTON BEACH MALL DENTAL PA (NPI# 1861053480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861053480
Entity Type Organization
Organization Name BOYNTON BEACH MALL DENTAL PA
Practice Address 801 N Congress Ave Ste 185d
Boynton Beach
FL 33426-3364
Practice Telephone 5613697199
Mailing Telephone 5613697199
Enumeration Date 2019-06-25
Last Update Date 2019-06-25
Authorized Official Name ROSTISLAV KRASNOV (OWNER)
Authorized Official Telephone 5613697199
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
Dental Providers

Office Location

Street Address 801 N CONGRESS AVE STE 185D
City BOYNTON BEACH
State FL
Zip Code 33426-3364

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1083231690 Gail J Laufer Inc Clinic/Center 1660 Ren. Commons Blvd, 2411, Boynton Beach, FL 33426 2020-06-30
1497399125 Roots To Recovery, LLC Substance Abuse Rehabilitation Facility 514 Nw 7th Court, Boynton Beach, FL 33426 2019-11-06
1609429547 Roman Health Pharmacy LLC Pharmacy 3602 Quantum Blvd, Boynton Beach, FL 33426 2019-07-19
1710457783 Immersion Residential LLC Substance Abuse Rehabilitation Facility 900 N Congress Ave, Boynton Beach, FL 33426 2018-12-03
1013425727 Latoya Camay Howell Family Medicine 1605 Renaissance Commons Blvd, 428, Boynton Beach, FL 33426 2018-01-16
1699292979 Vitae Services of The Palm Beaches, Inc. Home Health 517 Industrail Ave., Boynton Beach, FL 33426 2017-08-28
1063933075 Perla G Salazar Dentist 1690 Renaissance Commons Blvd Apt 1625, Boynton Beach, FL 33426 2017-06-29
1801339411 Marianna Zadov, P.a Dentist 1301 N Congress Ave #110, Boyton Beach, FL 33426 2016-11-30
1366801334 Medical Consultants of Florida Non-Pharmacy Dispensing Site 1485 Gateway Blvd Ste 102, Boynton Beach, FL 33426 2016-02-18
1396114443 Beachway Therapy Center LLC Substance Abuse Rehabilitation Facility 2600 Quantum Blvd, Suite B, 1st Floor, Boynton Beach, FL 33426 2015-09-18
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194326843 Stellar Smiles Inc. Dentist 1501 Corporate Dr Apt 311, Boynton Beach, FL 33426-6600 2020-11-07
1316429780 Dental Arts of Boynton Beach Dentist 10150 Hagen Ranch Rd Ste 202, Boynton Beach, FL 33437-3776 2018-09-03
1780198978 Procare Dentistry Dentist 3509 W. Boynton Beach Blvd, Boynton Beach, FL 33436 2017-11-27
1710409990 Camilo Rodriguez Dentist 7593 W Boynton Beach Blvd Ste 200, Boynton Beach, FL 33437-6162 2017-07-10
1225558604 Jacqueline Russo Dentist 11676 Dunes Rd, Boynton Beach, FL 33436-5503 2017-06-26
1467988253 Susel Maria Perez Ojeda Dentist 8773 Boynton Beach Blvd Unit 520, Boynton Beach, FL 33472 2017-05-11
1780044149 Charles John Lalane Dentist 832 Sw 36th Ave, Boynton Beach, FL 33435-8514 2016-02-28
1649679945 Melissa Bowers Dentist 9851 S Military Trl Ste I, Boynton Beach, FL 33436-3205 2014-08-22
1104258417 Domenick Andrew Cerullo Dentist 10150 Hagen Ranch Road Suite 202, Dental Arts of Boynton Beach, P.a., Boynton Beach, FL 33437 2013-08-09
1487955266 Florida Dental & Denture Center Dentist 1901 S Federal Hwy, Boynton Beach, FL 33435-6904 2010-11-09
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Competitor

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City BOYNTON BEACH
Zip Code 33426

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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