KINGS SMILE DENTAL PC NPI 1710100482

NPI Information

NPI: 1710100482
Provider Name: KINGS SMILE DENTAL PC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
457 KINGS HWY
BROOKLYN, NY
ZIP 11223
Phone: (718) 382-5005
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KINGS SMILE DENTAL PC is a dental clinic center in Brooklyn, NY. KINGS SMILE DENTAL PC NPI is 1710100482. The provider is registered as an organization entity type.

The provider's business location address is:

457 KINGS HWY
BROOKLYN, NY
ZIP 11223-803
Phone: (718) 382-5005
Fax: (718) 382-6963

The provider's authorized official is Mikhail Fikhman .
The authorized official title is Dentist and has the following contact phone number (718) 382-5005.

The enumeration date for this NPI number is 4/11/2007 and was last updated on 2/1/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1437132784	OTHER	NEW YORK	PERSONAL NPI
2	01435212	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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