Organization
MICHAEL W KING, DDS, PLC
Active
Other names
Michael W King, DDS
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL KING DDS (CHIEF MANAGER)
(731) 668-2354
Entity
Organization
Contact information
Practice address
2000 GREYSTONE SQ, JACKSON, TN 38305-3575
(731) 668-2354
(731) 668-2243
Mailing address
2000 GREYSTONE SQ, JACKSON, TN 38305-3575
(731) 668-2354
(731) 668-2243
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6915
TN
Other
Enumeration date
03/08/2012
Last updated
03/08/2012
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