Organization
JC DENTISTRY INC
Active
Other names
Johnston Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAD A KING D.D.S. (PRESIDENT)
(515) 270-9679
Entity
Organization
Contact information
Practice address
6108 NW 59TH CT, JOHNSTON, IA 50131-1580
(515) 270-9679
Mailing address
6108 NW 59TH CT, JOHNSTON, IA 50131-1580
(515) 270-9679
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8048
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1033241575
INDIVIDUAL NPI
IA
01
—
1689743502
INDIVIDUAL NPI
IA
Enumeration date
01/29/2008
Last updated
01/29/2008
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