| Doctor Name: | DR. JOSEPH S KINGSTON |
| NPI Number: | 1700015526 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | ED.D; LD |
| License Number: | 5515 |
| Business Practice Address: | 61 Hersey Ave Bangor, ME - 044014443 |
| Business Phone Number: | 2079421743 |
| Business Fax Number: | |
| Mailing Address: | 61 Hersey Ave, BANGOR |
| State: | ME |
| Postal Code: | 044014443 |
| Phone Number: | 2079421743 |
| Fax Number: | |
| NPI Enumeration Date: | 07/14/2009 |
| NPI Last Update Date: | 07/16/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 122400000X |
| License Number: | 5515 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| Taxonomy Type: | Dental Providers |
| Taxonomy Classification: | Denturist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |