# DR. SHAUNTA' SHAWAN KING

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1063725745
- **Gender:** F
- **Credential:** DMD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DN014131 | GA | Yes |

## Other

- **Enumeration date:** 07/22/2010
- **Last updated:** 05/07/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 877878469A | — | GA |
| 05 | — | 877878469B | — | GA |
| 01 | — | DN014131 | DMD LICENSE | GA |