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ALTAMONTE MALL DENTAL PA NPI 1063768372


NPI Information

NPI: 1063768372
Provider Name: ALTAMONTE MALL DENTAL PA
Classification: Dentist - 122300000X
Entity Type: Organization
Address:
451 E ALTAMONTE DR STE 1279
ALTAMONTE SPRINGS, FL
ZIP 32701
Phone: (954) 846-7171
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ALTAMONTE MALL DENTAL PA is a dentist in Altamonte Springs, FL. The provider is a dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. ALTAMONTE MALL DENTAL PA NPI is 1063768372. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

451 E ALTAMONTE DR STE 1279
ALTAMONTE SPRINGS, FL
ZIP 32701-617
Phone: (954) 846-7171
Fax: (954) 846-7170

The provider's authorized official is Rostislav Krasnov .
The authorized official title is Owner and has the following contact phone number (954) 846-7171.

The enumeration date for this NPI number is 7/24/2012 and was last updated on 7/24/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1122300000XDentistDN16377FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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