Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Edison Mall Dental P.A

Dentist in Fort Myers, FL · enumerated 2014 · authorized official Rostislav Krasnov, DDS.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1831500404

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Registry record

Entity type Organization (Type 2)

Legal business name Edison Mall Dental P.A

Practice address 4125 Cleveland Ave, Suite 1430, Fort Myers, FL, 33901

Phone (954) 846-7171

Enumeration date May 16, 2014

Last updated in NPPES May 16, 2014

Taxonomy & classification

122300000X Dentist Dental Providers · License DN16377 (FL) Primary

Authorized official

Name Rostislav Krasnov

Title DDS

Phone (954) 846-7171

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Edison Mall Dental P.A located?

The practice location on file with NPPES is in Fort Myers, FL.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2014-05-16. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-05-16.