Edison Mall Dental P.a is a Dental Clinic in Fort Myers, Florida. It is located at 4125 Cleveland Ave, Suite 1430, Fort Myers, FL and its contact number is 954-846-7171. The authorized person for Edison Mall Dental P.a is Rostislav Krasnov
who is Dds of the clinic and their contact number is 954-846-7171. The primary license number for Edison Mall Dental P.a is DN16377 (Dentist) in Florida.
Edison Mall Dental P.a Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Edison Mall Dental P.a Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Edison Mall Dental P.a |
| Specialization: | Dentistry |
| Clinic Address: | 4125 Cleveland Ave, Suite 1430, Fort Myers,
Florida, 33901-9046 |
| Phone: | 954-846-7171 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Rostislav Krasnov |
| Position: | Dds |
| Contact Number: | 954-846-7171 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Edison Mall Dental P.a clinic are as mentioned below.
| NPI Number: | 1831500404 |
| NPI Enumeration Date: | 16 May, 2014 |
| NPI Last Update On: | 16 May, 2014 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Edison Mall Dental P.a are as mentioned below.
| Specialization | License Number | State | Status | |
| Dentist | DN16377 | Florida | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Edison Mall Dental P.a
4125 Cleveland Ave, Suite 1430
Fort Myers, Florida |
| Zip: | 33901-9046 |
| Phone Number: | 954-846-7171 |
Patients can reach Edison Mall Dental P.a at
4125 Cleveland Ave, Suite 1430, Fort Myers, Florida or can
call to book an appointment on 954-846-7171.
Comments/ Reviews:
Read all the reviews posted for Edison Mall Dental P.a below. You may also share your own experience with Edison Mall Dental P.a. Your feedback can help others make better decisions.
**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.