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NPI · 1831500404 · NPPES-sourced

Edison Mall Dental P.A

ActiveDentist
NPI Number
1831500404
Type 2 · Organisation
Taxonomy Code
122300000X
Contact
(954) 846-7171
License FL · DN16377
Last Updated
Enumerated
Primary practice addressFL · 33901-9046
4125 Cleveland Ave, Suite 1430Fort Myers, FL 33901-9046
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About this NPIWhat this record shows.

NPI 1831500404 is registered to Edison Mall Dental P.A, a healthcare organisation classified as "Dentist" and located at 4125 Cleveland Ave, Suite 1430 in Fort Myers, Florida. The organisation's authorised official is Rostislav Krasnov. The organisation has been enumerated in the NPI registry since 2014.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Edison Mall Dental P.A accepts. To confirm in-network status with your specific health plan, contact Edison Mall Dental P.A directly at (954) 846-7171.

Frequently asked

Yes. NPI 1831500404 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Dentist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (954) 846-7171.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Edison Mall Dental P.A is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy122300000X
Last updated
Enumerated
StatusActive
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