Edison Mall Dental P.A
NPI 1831500404ActiveOrganization· Dentist· Fort Myers, FL
Dentist in Fort Myers, Florida, registered in NPPES in May 2014. The authorized official on file is Rostislav Krasnov, DENTIST, Dds.
Overview
| NPI | 1831500404 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 16, 2014 |
| Last updated in NPPES | May 16, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | DN16377 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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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