# BRIAN J. KING DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730431826
- **Authorized official:** DR. BRIAN JOSEPH KING DDS (OWNER)
- **Authorized official phone:** (574) 293-4213

## Contact information

- **Practice address:** 25947 COUNTY ROAD 20, ELKHART, IN 76517-2301
- **Practice address phone:** (574) 293-4213
- **Practice address fax:** (574) 294-8795
- **Mailing address:** 25947 COUNTY ROAD 20, ELKHART, IN 76517-2301
- **Mailing address phone:** (574) 293-4213
- **Mailing address fax:** (574) 294-8795

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 1200-9912A | IN | Yes |

## Other

- **Enumeration date:** 10/12/2012
- **Last updated:** 10/12/2012