Kings Plaza Dental Pc

LBN: Kings Plaza Dental Pc
Kings Plaza Dental Pc is an health care organization with primary practice located at 5412 Kings Plaza Mall , Brooklyn NY 11234. The organization recently has 3 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Periodontics, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / General Practice is the primary health care specialty. Kings Plaza Dental Pc can be contacted via phone (718) 258-0011, or through Mikhailov, Alexander via phone (718) 258-0011.

Contact Information

Primary practice address
5412 Kings Plaza Mall Brooklyn NY 11234
Phone: (718) 258-0011
Fax: (718) 258-1405
Website:
Map and Directions
Authorized official contact:
Name: Mikhailov, Alexander Doctor of Dental Surgery (DDS)
Phone: (718) 258-0011

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X New York
Dental Providers / Periodontics 1223P0300X New York
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X New York

Profile Details

NPI number 1114938164
LBN Legal business name Kings Plaza Dental Pc
DBA Doing business as
Authorized official Mikhailov, Alexander Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 11th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114938164 NPPES
New York MEDICAID 02683732

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