KING ORAL SURGERY ASSOCIATES LLC (NPI# 1316505720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316505720 |
| Entity Type | Organization |
| Organization Name | KING ORAL SURGERY ASSOCIATES LLC |
| Practice Address |
4255 Altamont Pl Ste 302 White Plains MD 20695-3082 |
| Practice Telephone | 3016454555 |
| Mailing Telephone | 3016454555 |
| Enumeration Date | 2019-05-31 |
| Last Update Date | 2019-05-31 |
| Authorized Official Name | DR. MICHAEL KING (OWNER) |
| Authorized Official Telephone | 6152933744 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers |
| Street Address |
4255 ALTAMONT PL STE 302 |
| City | WHITE PLAINS |
| State | MD |
| Zip Code | 20695-3082 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194845222 | Michael A King | Dentist | 4255 Altamont Pl Ste 302, White Plains, MD 20695-3082 | 2007-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023590452 | Dominique Bouldin | Driver | 11136 Saint Christopher Drive, White Plains, MD 20695 | 2018-09-01 |
| 1366928665 | Wooten Lyons LLC | Psychiatry & Neurology | 10665 Stanhaven Place, Suite 300a, White Plains, MD 20695 | 2018-07-19 |
| 1962914507 | Kids By The Bay Dental LLC | Clinic/Center | 5010 Regency Place Ste 102, White Plains, MD 20695 | 2017-11-03 |
| 1528592896 | Darlena Austin | Social Worker | 5310 Exeter Place, White Plains, MD 20695 | 2017-04-13 |
| 1609307040 | Phylicia Wooten | Counselor | 5510 Regency Place Suite 203, White Plains, MD 20695 | 2017-03-27 |
| 1760856488 | Stephanie W Allen | Physical Therapist | Ospt South Office 4470 Regency Place, Suite #100, White Plains, MD 20695 | 2015-11-18 |
| 1457743122 | Raven Gray | Physical Therapy Assistant | 10708 Esprit Place, White Plains, MD 20695 | 2015-03-04 |
| 1043629850 | Adenike Kupolati | Pharmacist | 4220 Altamont Place, White Plains, MD 20695 | 2014-08-06 |
| 1942532064 | Divine Intervention Community Support Services | Community/Behavioral Health | 7727 Chesterfied Ct., White Plains, MD 20695 | 2010-02-01 |
| 1740517895 | Optionet Support Service | Community/Behavioral Health | 7727 Chesterfield Court, White Plains, MD 20695 | 2009-11-11 |
| Find all providers in zip 20695 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962602045 | Anthony S Alessi | Dentist | 8 Martine Ave, White Plains, NY 10606-1909 | 2007-07-18 |
| 1194845222 | Michael A King | Dentist | 4255 Altamont Pl Ste 302, White Plains, MD 20695-3082 | 2007-03-30 |
| 1205802345 | Christopher Joseph Lane | Dentist | 95 Church St, Suite 404, White Plains, NY 10601-1515 | 2006-02-28 |
| 1104203272 | Yaakov Allaeb | Dentist | 114 Mamaroneck Ave, White Plains, NY 10601-5201 | 2015-04-28 |
| 1689074551 | Michael L Gelb Dds Ms P C | Dentist | 12 Old Mamaroneck Rd, Ste 1c, White Plains, NY 10605-2010 | 2014-08-28 |
| 1598181604 | Advanced Oral Surgery | Dentist | 47 Mamaroneck Ave, White Plains, NY 10601-4215 | 2014-03-13 |
| 1639467723 | Rachel Esther Levarek | Dentist | 4 Cromwell Pl, White Plains, NY 10601-5006 | 2011-07-11 |
| 1619286887 | Anthony S. Alessi Dmd, Md | Dentist | 4 Martine Ave, Apt # 1518, White Plains, NY 10606-4016 | 2010-10-05 |
| 1508098971 | Christopher J Lane Dds, Pllc | Dentist | 95 Church St, Suite 404, White Plains, NY 10601-1515 | 2009-08-18 |
| 1780716183 | Robert J Doherty | Dentist | 280 Mamaroneck Ave, Suite #210, White Plains, NY 10605-1438 | 2007-03-12 |
| Find all providers in WHITE PLAINS | ||||
| City | WHITE PLAINS |
| Zip Code | 20695 |
Please comment or provide details below to improve the information on KING ORAL SURGERY ASSOCIATES LLC.
| 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.