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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.