Organization
KING FAMILY DENTAL LLC
Active
Other names
King Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN KING DDS (OWNER)
(574) 293-7032
Entity
Organization
Contact information
Practice address
902 COUNTY ROAD 6 E, ELKHART, IN 46514-5571
(574) 293-7032
Mailing address
902 COUNTY ROAD 6 E, ELKHART, IN 46514-5571
(574) 293-7032
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
09/08/2025
Last updated
09/08/2025
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