Organization
KINGS PLAZA DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEXANDER MIKHAILOV DDS (PRESIDENT)
(718) 258-0011
Entity
Organization
Contact information
Practice address
5412 KINGS PLAZA MALL, BROOKLYN, NY 11234
(718) 258-0011
(718) 258-1405
Mailing address
5412 KINGS PLAZA MALL, BROOKLYN, NY 11234
(718) 258-0011
(718) 258-1405
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
NY
1223P0300X
Periodontics
—
NY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02683732
—
NY
Enumeration date
08/11/2006
Last updated
09/11/2025
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