Edison Mall Dental P.a

  • 1831500404 NPI Number
  • |
  • Actived: 9 years ago
  • |
Edison Mall Dental P.a is a health care provider based in Fort Myers, FL. The NPI Number is 1831500404 and it has been active since 9 years ago. The specialty is Dentist, providing comprehensive mental health services to individuals, families, and communities. If you are looking for Dentist services, Edison Mall Dental P.a is an excellent option. We are here to help you get the care you need.

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Overview of Edison Mall Dental P.a

  • NPI number: 1558967950
  • Provider type: Organization
  • Active since: 05/16/2014
  • Last updated: 05/16/2014

Primary Scrop of Practice

  • Taxonomy Code: 122300000X
  • Specialty: Dentist
  • License Number: DN16377
  • License State: FL

Provider Mailing Address

  • Address: 4125 Cleveland Ave
    Suite 1430
    Fort Myers, FL 33901
  • Phone: 954-846-7171
  • Fax:

Provider Practice Location

  • Address: 4125 Cleveland Ave
    Suite 1430
    Fort Myers, FL 33901
  • Phone: 954-846-7171
  • Fax:

Authorized Official

  • Name: Rostislav Krasnov DENTIST
  • Position/Title: Dds
  • Telephone Number: 954-846-7171

Scope of Practice

  • Taxonomy Code: 122300000X
  • Specialty: Dentist
  • License Number: DN16377
  • License State: FL
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Edison Mall Dental P.a?
  • A: The npi number for Edison Mall Dental P.a is 1831500404.
  • Q: What are Edison Mall Dental P.a's specialties?
  • A: Edison Mall Dental P.a's specialties are Dentist and different specialities.
  • Q: Where is Edison Mall Dental P.a business practice location?
  • A: Edison Mall Dental P.a business practice location is 4125 Cleveland Ave, Fort Myers, FL 33901.
  • Q: How to contact Edison Mall Dental P.a?
  • A: You can contact Edison Mall Dental P.a via 954-846-7171.
  • Q: What is the authorized official for Edison Mall Dental P.a?
  • A: The authorized office name is Rostislav Krasnov DENTIST with position/title is Dds and you can reach the authorized official via phone number 9548467171.
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