Michael a King DDS LLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

14203 Issued in MD

Legal business name

MICHAEL A KING DDS LLC

Practice address

5801 Allentown Rd
Suite 408
Camp Springs, MD 20746-4563

Phone

(301) 645-4555

Fax

(301) 645-1219

NPI assigned

Jun 15, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Michael King, DDSNPI 1194845222

Title

Owner

Phone

(301) 645-4555

Specialties & licenses 1

Addresses

Other names 1

• King Oral Surgery Group at Camp Springs Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael A King, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • White Plains, MD
  • NPI 1194845222
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1339718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339718400000",
    "number": "1003178963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6368 COVENTRY WAY",
            "address_2": "SUITE 197",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207352256",
            "telephone_number": "301-645-4555",
            "fax_number": "301-645-1219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 ALLENTOWN RD",
            "address_2": "SUITE 408",
            "city": "CAMP SPRINGS",
            "state": "MD",
            "postal_code": "207464563",
            "telephone_number": "301-645-4555",
            "fax_number": "301-645-1219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL A KING DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-15",
        "last_updated": "2012-06-15",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-645-4555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MD",
            "license": "14203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "King Oral Surgery Group at Camp Springs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Oral and Maxillofacial Surgery (Dentist) in Camp Springs, MD
• Providers in Camp Springs, MD by specialty
• Oral and Maxillofacial Surgery (Dentist) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.