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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.