Individual
DR. MELINDA RENEE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
7402 HIGHWAY 69 S, SUITE H, TUSCALOOSA, AL 35405-1300
(205) 344-9220
(205) 344-9221
Mailing address
7402 HIGHWAY 69 S, SUITE H, TUSCALOOSA, AL 35405-1300
(205) 344-9220
(205) 344-9221
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
LNO5502
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
630500110
—
AL
Enumeration date
01/16/2007
Last updated
09/02/2015
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