KG Hollywood Smile Dental, PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

KG HOLLYWOOD SMILE DENTAL, PC

Practice address

2 Diamond Street
Brooklyn, NY 11222

Phone

(718) 299-5900

Fax

(947) 271-3011

NPI assigned

May 14, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Kristina Gabrilyants

Title

President

Phone

(718) 299-5900

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1273795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273795200000",
    "number": "1083932008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 DIAMOND STREET",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112222508",
            "telephone_number": "718-299-5900",
            "fax_number": "947-271-3011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 DIAMOND STREET",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11222",
            "telephone_number": "718-299-5900",
            "fax_number": "947-271-3011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KG HOLLYWOOD SMILE DENTAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-14",
        "last_updated": "2010-05-14",
        "status": "A",
        "authorized_official_last_name": "GABRILYANTS",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-299-5900",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keystone Supply Group Inc
• Mayya Keyzman, LPN
• Kfcny Corp
• KFG Operating I, LLC
• KFG Operating Two, LLC
• KH Pain Associates of New York, LLP
• Alexander Khabensky, DDS
• Igor Khabensky, D.D.S
• Vrutika Khabia, PT
• Shelly Rachel Khabieh

• Dentist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2010; 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.