Boynton Beach Mall Dental PA
NPI 1861053480ActiveOrganization· Dentist, General Practice· Boynton Beach, FL
Dentist, General Practice in Boynton Beach, Florida, registered in NPPES in June 2019. The authorized official on file is Rostislav Krasnov, Owner.
Overview
| NPI | 1861053480 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 25, 2019 |
| Last updated in NPPES | Jun 25, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
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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