B & K Family Dental, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

22DI02322000 Issued in NJ

Legal business name

B & K FAMILY DENTAL, LLC

Practice address

707 Elizabeth Ave
Elizabeth, NJ 07201-2806

Phone

(908) 354-1500

Fax

(908) 354-1502

NPI assigned

Dec 10, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Svetlana B. Konstantinova, D.D.S.NPI 1003025503

Title

Co-Owner

Phone

(908) 354-1500

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Svetlana Konstantinova, D.D.S.

  • General Practice Dentistry
  • Elizabeth, NJ
  • NPI 1003025503
  NPD (past) Authorized official
• Sergey Yevgenyevich Basin, D.D.S.

  • General Practice Dentistry
  • Elizabeth, NJ
  • NPI 1578600326
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197244800000",
    "number": "1083897375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 ELIZABETH AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072012806",
            "telephone_number": "908-354-1500",
            "fax_number": "908-354-1502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 ELIZABETH AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072012806",
            "telephone_number": "908-354-1500",
            "fax_number": "908-354-1502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B & K FAMILY DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-10",
        "last_updated": "2007-12-10",
        "status": "A",
        "authorized_official_last_name": "KONSTANTINOVA",
        "authorized_official_first_name": "SVETLANA",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "908-354-1500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NJ",
            "license": "22DI02322000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shellie Auguste, DPM
• Authentic Physical Therapy LLC
• Dialix Aviles
• Karpukarasi Ayyanathan, M.D.
• Christina Teresa Azoia, PA-C
• Back to Action Physical Therapy LLC (Redcore Physical Therapy And Wellness)
• Back to Motion Physical Therapy & Rehabilitation Inc
• Back to Wellness Physical Therapy
• Chaya Back
• Linda C Bacon

• Dental Clinic/Center in Elizabeth, NJ
• Providers in Elizabeth, NJ by specialty
• Dental Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.