Kingsbury Oral and Maxillofacial Surgery, PC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

KINGSBURY ORAL AND MAXILLOFACIAL SURGERY, PC

Practice address

1 Presidential Blvd Ste 207
Bala Cynwyd, PA 19004-1007

Phone

(909) 583-5356

NPI assigned

Aug 17, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Katina Nguyen, DDSNPI 1497158653

Title

President

Phone

(909) 583-5356

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

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

• Katina Nguyen, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Bala Cynwyd, PA
  • NPI 1497158653
  NPD Authorized official

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

{
    "created_epoch": "1597622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597622400000",
    "number": "1568074037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 SPRUCE ST APT 1905",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191024641",
            "telephone_number": "909-583-5356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PRESIDENTIAL BLVD STE 207",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041007",
            "telephone_number": "909-583-5356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSBURY ORAL AND MAXILLOFACIAL SURGERY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-17",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "KATINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-583-5356",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "KingsburyMaxillofacialSurgery@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "other",
            "address_1": "1 Presidential Blvd Ste 207",
            "city": "Bala Cynwyd",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190041007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Timothy Kim, OD
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• Adrian King
• Harold P Kirby, LCSW, BCD
• Andrew Scott Kirschner, D.O.
• Jeremy Klapper, PT, DPT, MS
• Robert Bruce Kleiman, M.D.
• Lynn Michele Klein, M.D.

• Oral and Maxillofacial Surgery (Dentist) in Bala Cynwyd, PA
• Providers in Bala Cynwyd, PA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; 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.