Individual
DR. MICHAEL WAYNE KING
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2000 GREYSTONE PARK, 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
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9175768
—
TN
Enumeration date
06/27/2005
Last updated
11/05/2015
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