SBK Dental, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

054655-1 Issued in NY

Legal business name

SBK DENTAL, LLC

Doing business as

Fresh Orthodontics

Practice address

385 4TH Ave
Unit 2
Brooklyn, NY 11215-3201

Phone

(347) 708-9777

Fax

(347) 708-9774

NPI assigned

Sep 15, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Ankush Khanna, DMD

Title

Orthodontist/Owner

Phone

(347) 708-9777

Specialties & licenses 1

Addresses

Other names 1

• Fresh Orthodontics Doing business as

Locations

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

{
    "created_epoch": "1442275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442275200000",
    "number": "1780053108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 4TH AVE",
            "address_2": "UNIT 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112153201",
            "telephone_number": "347-708-9777",
            "fax_number": "347-708-9774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 4TH AVE",
            "address_2": "UNIT 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112153201",
            "telephone_number": "347-708-9777",
            "fax_number": "347-708-9774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SBK DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-15",
        "last_updated": "2015-09-15",
        "status": "A",
        "authorized_official_last_name": "KHANNA",
        "authorized_official_first_name": "ANKUSH",
        "authorized_official_title_or_position": "ORTHODONTIST/OWNER",
        "authorized_official_telephone_number": "347-708-9777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NY",
            "license": "054655-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fresh Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dental Clinic/Center in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Dental Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2015; 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.