| NPI | 1023381183 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2012-02-20 |
| Last Updated | 2018-12-03 |
| Authorized Official | Rostislav Krasnov OWNER Phone: 3052450308 |
| Mailing Address | 20505 S Dixie Hwy, Ste 1683 Cutler Bay, FL 33189-1229 United States Phone: (305) 245-0308 | Fax: (954) 846-7170 📍 View Map |
| Primary Practice Address | 20505 S Dixie Hwy, Ste 1683 Cutler Bay, FL 33189-1229 United States Phone: (305) 245-0308 | Fax: (954) 846-7170 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 122300000X – Dentist | - | - |
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About NPI 1023381183
Southland Mall Dental,p.a. is an organization registered in the CMS NPPES NPI Registry with NPI number 1023381183. The primary specialty listed is Dentist. The organization is located in Cutler Bay, FL. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2012-02-20. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1023381183?
NPI 1023381183 belongs to Southland Mall Dental,p.a., a Dentist in Cutler Bay, FL. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1023381183 active?
The current status of NPI 1023381183 in the NPPES registry is Active. The record was last updated on 2018-12-03.
What specialty is NPI 1023381183?
NPI 1023381183 is classified under the taxonomy Dentist. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1023381183?
You can verify NPI 1023381183 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1023381183?
The primary practice address on file for NPI 1023381183 is 20505 S Dixie Hwy, Cutler Bay, FL 33189-1229. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1023381183 issued?
NPI 1023381183 was first issued (enumerated) on 2012-02-20. The NPPES record was last updated on 2018-12-03.
Practice Location Map
Southland Mall Dental,p.a. is located at 20505 S Dixie Hwy, Cutler Bay, FL. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Southland Mall Dental,p.a.. All records sourced from the CMS NPPES registry.