KVL Dental Group P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

052968 Issued in NY

Legal business name

KVL DENTAL GROUP P.C.

Practice address

1 Barstow Rd Ste P23
Great Neck, NY 11021-3501

Phone

(516) 466-8744

Fax

(516) 829-3650

NPI assigned

Jan 30, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Kevin Seokkyu Lee, D.D.S.NPI 1558543736

Title

Dentist

Phone

(516) 466-8744

Specialties & licenses 1

Addresses

Other names 1

• Smile Partner Dental Doing business as

Practitioners 2

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

• Kevin Seokkyu Lee, D.D.S.

  • General Practice Dentistry
  • Great Neck, NY
  • NPI 1558543736
  NPD (past) Authorized official
• Kyung Hyun Kim, DDS

  • General Practice Dentistry
  • Great Neck, NY
  • NPI 1427157940
  NPD (past)

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

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201651200000",
    "number": "1124205281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BARSTOW RD STE P23",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110213501",
            "telephone_number": "516-466-8744",
            "fax_number": "516-829-3650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BARSTOW RD STE P23",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110213501",
            "telephone_number": "516-466-8744",
            "fax_number": "516-829-3650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KVL DENTAL GROUP P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-30",
        "last_updated": "2008-01-30",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "SEOKKYU",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "516-466-8744",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "052968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Partner Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicholas Michael Kunda, M.D.
• Juby Kurian, LMHC, MA
• Christina Kurien, PA-C
• Steve Kurtin
• Lewis Myles Kurtz, MD
• Gina Sue Kwak, M.D.
• Anna Izabela Kwasnik, DDS
• Bogum Kwon, PA
• L Kanders NP in Adult Health PLLC
• Nicholas Alexander La Gamma, M.D.

• General Practice Dentistry in Great Neck, NY
• Providers in Great Neck, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; 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.