Provider Demographics
NPI:1235277815
Name:GILBERT J. KRINGSTEIN DDS PC
Entity Type:Organization
Organization Name:GILBERT J. KRINGSTEIN DDS PC
Other - Org Name:DRS. KRINGSTEIN AND MCINTYRE
Other - Org Type:Other Name
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:S
Authorized Official - Last Name:MCINTYRE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:718-638-2200
Mailing Address - Street 1:1 HANSON PL
Mailing Address - Street 2:7TH FLOOR
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11243-2907
Mailing Address - Country:US
Mailing Address - Phone:718-638-2200
Mailing Address - Fax:718-638-2286
Practice Address - Street 1:1 HANSON PL
Practice Address - Street 2:7TH FLOOR
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11243-2907
Practice Address - Country:US
Practice Address - Phone:718-638-2200
Practice Address - Fax:718-638-2286
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0351591223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY018905OtherDR. KRINGSTEIN'S LISCENSE
NY00762969Medicaid
NY00295116Medicaid
NY035159OtherDR. MCINTYRE'S LISCENSE
NY018905OtherDR. KRINGSTEIN'S LISCENSE
NY00762969Medicaid
NY00295116Medicaid
NYD0E89Medicare ID - Type UnspecifiedDR. MCINTYRE'S