Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Justin James Kirkwood, DMD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1700348653

Justin James Kirkwood, DMD is a Student in an Organized Health Care Education/Training Program in Albany, New York. Licensed in New York. Registered with an NPI since 2019.

Licensed in
NY
In the registry since
2019
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

100 Great Oaks Blvd Ste 112
Albany, NY 12203-7924
Phone: (186) 826-4005
Fax: (518) 682-6402
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 064184 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1700348653
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedApril 1, 2019
Last updated in NPPESDecember 5, 2024
Certification dateDecember 5, 2024

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