B & K FAMILY DENTAL, LLC (NPI# 1083897375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083897375 |
| Entity Type | Organization |
| Organization Name | B & K FAMILY DENTAL, LLC |
| Practice Address |
707 Elizabeth Ave Elizabeth NJ 07201-2806 |
| Practice Telephone | 9083541500 |
| Practice Fax Number | 9083541502 |
| Mailing Telephone | 9083541500 |
| Mailing Fax Number | 9083541502 |
| Enumeration Date | 2007-12-10 |
| Last Update Date | 2007-12-10 |
| Authorized Official Name | DR. SVETLANA B. KONSTANTINOVA (CO-OWNER) |
| Authorized Official Telephone | 9083541500 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
22DI02322000 | NJ | Ambulatory Health Care Facilities |
| Street Address |
707 ELIZABETH AVE |
| City | ELIZABETH |
| State | NJ |
| Zip Code | 07201-2806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578600326 | Sergey Yevgenyevich Basin | Dentist | 707 Elizabeth Ave, Elizabeth, NJ 07201-2806 | 2007-01-31 |
| 1003025503 | Svetlana Konstantinova | Dentist | 707 Elizabeth Ave, Elizabeth, NJ 07201-2806 | 2007-05-21 |
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|---|---|---|---|---|
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| 1588226161 | Latika Patel | Student in an Organized Health Care Education/Training Program | 224 Williamson Street, Elizabeth, NJ 07201 | 2019-07-03 |
| 1598221830 | Trucare Pharmacy Inc. | Pharmacy | 838 E. Grand St, Elizabeth, NJ 07201 | 2019-02-12 |
| 1346762911 | Ronel Sajouste | Non-emergency Medical Transport (VAN) | 476 Adams Avenue, Elizabeth, NJ 07201 | 2017-07-14 |
| 1134649189 | Community Access Unlimitd Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 16-22 Jaques St, 3, Elizabeth, NJ 07201 | 2017-06-21 |
| 1881128932 | Rosemarie Nielson | Internal Medicine | 557 Adams Ave, 1f, Elizabeth, NJ 07201 | 2017-04-15 |
| 1467995910 | Lourdes E. Lherisson | Optometrist | 651 Kapkowski Rd., Ste. 1236, Elizabeth, NJ 07201 | 2016-11-30 |
| 1629442462 | Ong Care | Home Health | 1139 E Jersey St Ste 502, Elizabeth, NJ 07201 | 2015-11-17 |
| 1336486547 | Puerto Rican Org for Community Educational & Economic Development | Community/Behavioral Health | 1122 E. Grand St., Elizabeth, NJ 07201 | 2013-01-08 |
| Find all providers in zip 07201 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922653062 | Jodal Dental Associates | Clinic/Center | 570 N Broad St Ste 4, Elizabeth, NJ 07208-4301 | 2019-08-06 |
| 1851781561 | Elizabeth Avenue Dentistry, PC | Clinic/Center | 643 Elizabeth Ave, Elizabeth, NJ 07206-1131 | 2015-02-02 |
| 1063908622 | Lysandra Plotkin, D.m.d LLC | Clinic/Center | 1151 E Jersey St, Elizabeth, NJ 07201-2310 | 2018-07-06 |
| 1447625447 | Paris and Betancourt, Dmd | Clinic/Center | 570 N Broad St, Suite #6, Elizabeth, NJ 07208-3314 | 2015-12-02 |
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|---|---|---|---|---|
| 1487254652 | Oakland Premier Dental | Clinic/Center | 410 Ramapo Valley Rd Ste 101, Oakland, NJ 07436-2716 | 2020-10-27 |
| 1689271116 | C&s Deantal Enterprises | Clinic/Center | 388 Pompton Ave Ste 5, Cedar Grove, NJ 07009-1814 | 2020-10-07 |
| 1609473347 | Mast Dental LLC | Clinic/Center | 120 Highway 33, Manalapan, NJ 07726-8477 | 2020-10-06 |
| 1962009878 | Precision Dentistry LLC | Clinic/Center | 215 Old Tappan Rd Ste 2, Old Tappan, NJ 07675-7000 | 2020-10-04 |
| 1447857685 | Dental Health Center of Monmouth Beach | Clinic/Center | 27 Beach Rd Ste 1, Monmouth Beach, NJ 07750-1387 | 2020-10-01 |
| 1033722137 | Urban Smiles Dental P.a | Clinic/Center | 776 E 3rd Ave Ste Ll2, Roselle, NJ 07203-1698 | 2020-08-28 |
| 1417573353 | Sparq Family Dental LLC | Clinic/Center | 121 Highway 36 Ste 100, West Long Branch, NJ 07764-1459 | 2020-06-16 |
| 1437774023 | Englewood Dental Arts LLC | Clinic/Center | 106 Grand Ave Ste 390, Englewood, NJ 07631-3570 | 2020-06-10 |
| 1134740707 | Paulanto Dental Clinic Corp | Clinic/Center | 189-195 Ave E, Bayonne, NJ 07002 | 2020-05-05 |
| 1356962914 | Mern Enterprises | Clinic/Center | 2022 Route 71 Ste 204, Spring Lake, NJ 07762-2291 | 2020-05-05 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.