KIM & WANG DDS PLLC (NPI# 1790340875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790340875 |
| Entity Type | Organization |
| Organization Name | KIM & WANG DDS PLLC |
| Other Organization Name | K & W DENTAL AT FOREST HILLS |
| Practice Address |
10737 71st Ave Ste 203 Forest Hills NY 11375-4736 |
| Mailing Address |
107-37 71st Ave Suite 203, Mailbox #4 Forest Hills NY 11375 |
| Practice Telephone | 7182611432 |
| Mailing Telephone | 7182611432 |
| Enumeration Date | 2019-05-05 |
| Last Update Date | 2019-05-05 |
| Authorized Official Name | DR. HOWARD HAO WANG (PRESIDENT) |
| Authorized Official Telephone | 6467054908 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers | ||
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | NY DEPARTMENT OF STATE | 5530818 | 01 |
| Other Name | Type Code |
|---|---|
| K & W DENTAL AT FOREST HILLS | Doing Business As Name - Organization |
| Street Address |
10737 71ST AVE STE 203 |
| City | FOREST HILLS |
| State | NY |
| Zip Code | 11375-4736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932709623 | Nicole Ficano | Counselor | 102-02 66th Road, Forest Hills, NY 11375 | 2020-10-30 |
| 1396342473 | One Stop Senior Day Care Inc | Clinic/Center | 108-10 72nd Ave 2fl, Forest Hills, NY 11375 | 2020-10-02 |
| 1063029023 | Prohealth Care Associates, LLP | Occupational Therapist | 118-35 Queens Boulevard, Suite 1550, Forest Hills, NY 11375 | 2020-09-24 |
| 1659909398 | Lindsay Stemke | Student in an Organized Health Care Education/Training Program | 102-01 66th Rd., Forest Hills, NY 11375 | 2020-03-30 |
| 1609409887 | Yesodot, Inc | Clinic/Center | 110-06 69th Ave, Forest Hills, NY 11375 | 2020-02-17 |
| 1831744945 | Darius Douglas | Counselor | Bleuler Psychotherapy Center 104-70 Queens Blvd, Suite 500, Forest Hills, NY 11375 | 2019-08-06 |
| 1598329914 | Jane Rochelle Pahang | Physical Therapist | 116-21 Queens Blvd, Forest Hills, NY 11375 | 2019-05-01 |
| 1558828939 | Natalie Koptyev | Pharmacist | 108-14 68th Drive, Forest Hills, NY 11375 | 2019-02-21 |
| 1043782014 | Magdalena Lekic Salameh | Behavioral Analyst | 67-29 Kessel Street, Forest Hills, NY 11375 | 2018-12-31 |
| 1861960031 | Bertine Sylvie Alectine | Specialist | 108-18 Queens Blvd, 5th Floor, Suite 4a, Forest Hills, NY 11375 | 2018-11-06 |
| Find all providers in zip 11375 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841505344 | Prabha Krishnan Dds P.C. | Dentist | 110-45 Queens Boulevard, Suite #108, Forest Hills, NY 11375-5501 | 2010-08-10 |
| 1730209701 | Janet Stoupel | Dentist | 10101 67th Dr, Suite A, Forest Hills, NY 11375-2756 | 2007-03-30 |
| 1275806127 | Ja Advance Dentistry, PC | Dentist | 6514 108th St, Forest Hills, NY 11375-1856 | 2012-02-22 |
| 1750585303 | Joseph I Aronoff | Dentist | 6514 108th St, Forest Hills, NY 11375-1856 | 2007-06-14 |
| 1073725891 | Seokwoo Lee | Dentist | 10750 Queens Blvd, Forest Hills, NY 11375-4251 | 2007-05-04 |
| 1467570440 | Stephen S Weisglass | Dentist | 11020 71st Rd, Suite 120, Forest Hills, NY 11375-4945 | 2007-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467052068 | Tamar Friling | Dentist | 247 3rd Ave Rm 203, New York, NY 10010-7453 | 2020-11-01 |
| 1851901896 | Kristen Brocavich | Dentist | 150 Islip Ave Ste 11, Islip, NY 11751-3222 | 2020-08-04 |
| 1962056499 | Zahavi Dental of Rochester | Dentist | 1815 S. Clinton Ave, 510, Rocheter, NY 14618 | 2019-08-01 |
| 1346710241 | Bedford Hills Dental P.C. | Dentist | 3 Depot Plz, Bedford Hills, NY 10507-1807 | 2018-12-04 |
| 1093295735 | Giffords Dental, P.C. | Dentist | 79 Giffords Ln, Staten Island, NY 10308-2411 | 2018-08-21 |
| 1215416805 | Alex Zusin | Dentist | 2540 Batchelder St Apt 5o, Brooklyn, NY 11235-1530 | 2018-08-14 |
| 1639655764 | Kiss Dental Care Pllc | Dentist | 425 Robinson Ave Ste 4, Newburgh, NY 12550-3303 | 2018-07-11 |
| 1689189524 | Mid Island Dental Specialists, PC | Dentist | 400 S Oyster Bay Rd Ste 201, Hicksville, NY 11801-3500 | 2017-12-13 |
| 1477068906 | Mohammad Reshad | Dentist | 230 Riverside Dr Apt 10m, New York, NY 10025-6192 | 2017-12-06 |
| 1043724479 | Ioana Chesnoiu Matei | Dentist | 630 W 168th St Rm 7-200c, New York, NY 10032-3725 | 2017-11-21 |
| Find all providers with the same taxonomy | ||||
| City | FOREST HILLS |
| Zip Code | 11375 |
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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.