Individual
WAYNE L KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
7465 NORTHSIDE DR, NORTH CHARLESTON, SC 29420-4209
(843) 797-5400
(843) 797-5164
Mailing address
7465 NORTHSIDE DR, NORTH CHARLESTON, SC 29420-4209
(843) 797-5400
(843) 797-5164
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
30-1696
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z16965
—
SC
Enumeration date
07/10/2006
Last updated
03/07/2023
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