MEDICARE: KB FAMILY DENTAL PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	041981	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1912039140
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KB FAMILY DENTAL PC

Provider Business Mailing Address
First Line	:	1301 KINGSHIGHWAY
Second Line	:	KB FAMILY DENTAL PC
City	:	BROOKLYN
State	:	NY
Zip	:	11229
Country	:	US
Telephone Number	:	718-339-0747
Fax Number	:	718-339-6638

Provider Business Practice Location Address
First Line	:	1301 KINGSHIGHWAY
Second Line	:	KB FAMILY DENTAL PC
City	:	BROOKLYN
State	:	NY
Zip	:	11229
Country	:	US
Telephone Number	:	718-339-0747
Fax Number	:	718-339-6638

Authorized Official
Title or Position	:	DOCTOR
Name	:	DR. HUSSEIN MORSY
Credential	:
Telephone Number	:	718-339-0747

Provider Enumeration Date	:	03/12/2007
Last Update Date	:	08/22/2020

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Directions to “KB FAMILY DENTAL PC ” Practice Location

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