Prime Smile Dental PC

Primary specialty

DentistTaxonomy code 122300000X

License

8607157 Issued in NY

Legal business name

PRIME SMILE DENTAL PC

Practice address

35-35 149TH Street
Suite 203
Flushing, NY 11354

Phone

(718) 460-9440

NPI assigned

Sep 18, 2014

Organization subpart

No

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

Authorized official

Name

Dongkyun Kim, DDS

Title

Clinical Director/Owner

Phone

(201) 313-2277

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1410998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410998400000",
    "number": "1831591049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35-35 149TH STREET",
            "address_2": "SUITE 203",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11354",
            "telephone_number": "718-460-9440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35-35 149TH STREET",
            "address_2": "SUITE 203",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11354",
            "telephone_number": "718-460-9440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME SMILE DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-18",
        "last_updated": "2014-09-18",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "DONGKYUN",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR/OWNER",
        "authorized_official_telephone_number": "201-313-2277",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "8607157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Primacare Pharmacy Inc
• Primacare Plus Pharmacy Inc.
• Katherine Primachenko, M.S., CCC-SLP
• Prime Kids
• Prime Medical & Rehab. P.C.
• Prime Time Care, Inc.
• Prime Time Care, Inc.
• Prince Pharmacy Inc.
• Nanette Prince
• Roarke Prince, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2014; 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.