Individual
MICHAEL A KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4255 ALTAMONT PL STE 302, WHITE PLAINS, MD 20695-3082
(301) 645-4555
Mailing address
4255 ALTAMONT PL STE 302, WHITE PLAINS, MD 20695-3082
(615) 293-6519
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
14203
MD
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DEN1000656
DC
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DN012707
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
028778400
—
MD
05
—
028778401
—
MD
05
—
039757600
—
DC
01
—
1003178963
TYPE 2 NPI
—
Enumeration date
03/30/2007
Last updated
03/05/2024
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