Altamonte Mall Dental PA
NPI 1063768372ActiveOrganization· Dentist· Altamonte Springs, FL
Dentist in Altamonte Springs, Florida, registered in NPPES in July 2012. The authorized official on file is Rostislav Krasnov, DDS, Owner.
Overview
| NPI | 1063768372 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 24, 2012 |
| Last updated in NPPES | Jul 24, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | DN16377 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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