John Kong is a Periodontics in Kew Gardens, New York. John Kong practices all healthcare services and medical treatments related to Periodontics. The NPI Number for John Kong is 1730205691. The last update date is 2019-01-16.
John Kong's current location address is 12510 Queens Blvd Ste 219, Kew Gardens, New York. You can contact this provider via phone number 7182635991 and fax number 7182680105. The mailing address for John Kong is 12510 Queens Blvd Ste 219, Kew Gardens, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Kong |
|---|---|
| Address | 12510 Queens Blvd Ste 219, Kew Gardens, New York |
| Phone Number | 7182635991 |
| Fax Number | 7182680105 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1730205691 |
|---|---|
| Provider Enumeration Date | 2007-03-22 |
| Last Updated Date | 2019-01-16 |
Provider Mailing Address Detail
| Address | 12510 Queens Blvd Ste 219 |
|---|---|
| City | Kew Gardens |
| State | New York (NY) |
| Post Code | 114151506 |
| Phone Number | 7182635991 |
| Fax Number | 7182680105 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 22DI02274200 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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Post Comment/ Review Below
What is the unique identifier code issued to John Kong by the Centers for Medicare & Medicaid Services (CMS)?
The John Kong has been assigned the NPI (National Provider Identifier) 1730205691. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where John Kong is physically located?
The John Kong is situated at the following address: 12510 Queens Blvd Ste 219, Kew Gardens, NY 114151506.
What is John Kong's area of expertise and its corresponding taxonomy classification?
The John Kong's field of specialization is Periodontics, and it falls under the taxonomy code 1223P0300X, which categorizes healthcare providers based on their areas of practice.
When was the John Kong's 1730205691 issued?
The John Kong's 1730205691 was issued on 2007-03-22.
As of what date were the details pertaining to John Kong last refreshed?
The information related to the John Kong, including its address, specialty, and other relevant details, was last updated on 2019-01-16.