# KING FAMILY DENTAL PLLC

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

## Provider details

- **NPI number:** 1881420768
- **Authorized official:** CALEB TIMOTHY KING DMD (OWNER/DENTIST)
- **Authorized official phone:** (615) 799-9234

## Contact information

- **Practice address:** 1696 FAIRVIEW BLVD STE 104, FAIRVIEW, TN 37062-5144
- **Practice address phone:** (615) 799-9234
- **Mailing address:** 1696 FAIRVIEW BLVD STE 104, FAIRVIEW, TN 37062-5144
- **Mailing address phone:** (615) 799-9234

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 09/09/2024
- **Last updated:** 09/16/2024