Miami International Mall Dental, Pa is a Dental Clinic in Miami, Florida. It is located at 10457 Sw 40th St, Miami, FL and its contact number is 305-597-8787. The authorized person for Miami International Mall Dental, Pa is Rostislav Krasnov
who is Owner of the clinic and their contact number is 305-597-8787.
Miami International Mall Dental, Pa Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Miami International Mall Dental, Pa Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Miami International Mall Dental, Pa |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 10457 Sw 40th St, Miami,
Florida, 33165-3753 |
| Phone: | 305-597-8787 |
| Fax: | 305-597-8617 |
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: | Owner |
| Contact Number: | 305-597-8787 |
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 Miami International Mall Dental, Pa clinic are as mentioned below.
| NPI Number: | 1528247533 |
| NPI Enumeration Date: | 25 Oct, 2007 |
| NPI Last Update On: | 26 Sep, 2024 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Miami International Mall Dental, Pa are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | | | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 101731500 | Medicaid | Florida | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Miami International Mall Dental, Pa
10457 Sw 40th St,
Miami, Florida |
| Zip: | 33165-3753 |
| Phone Number: | 305-597-8787 |
| Fax Number: | 305-597-8617 |
Patients can reach Miami International Mall Dental, Pa at
10457 Sw 40th St, Miami, Florida or can
call to book an appointment on 305-597-8787.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.