Individual
DR. JIMMY HINSON KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
123 HOLMAN DRIVE, HEADLAND, AL 36345
(334) 693-2217
(334) 693-3101
Mailing address
123 HOLMAN DRIVE, HEADLAND, AL 36345
(334) 693-2217
(334) 693-3101
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3051
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
69304
UNITED CONCORDIA
—
01
—
93917
BLUE CROSS OF ALABAMA
AL
Enumeration date
08/30/2006
Last updated
07/08/2007
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