King Dental, LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

KING DENTAL, LLC

Practice address

1108 Gleneagles Dr SW
Huntsville, AL 35801-6404

Phone

(256) 880-1884

NPI assigned

Apr 30, 2015

Organization subpart

No

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

Authorized official

Name

Beverly Holcomb

Title

Credentialing

Phone

(256) 880-1884

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1430352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430352000000",
    "number": "1265819148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 GLENEAGLES DR SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016404",
            "telephone_number": "256-880-1884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 GLENEAGLES DR SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016404",
            "telephone_number": "256-880-1884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-30",
        "last_updated": "2015-04-30",
        "status": "A",
        "authorized_official_last_name": "HOLCOMB",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "256-880-1884"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Scott Kinard, MPH, ATC, CSCS
• Chelsey Nichole Kincaid, MSOT, OTR/L
• Scott C Kincaid, LPC
• Amber Nichole Horton Kinch, CRNP
• Alice Kindred, MSW
• King Dental, LLC
• Alexxis Shantel King
• Andrea Denise King, FNP-C
• Angela Jean King, MD
• Anna King

• Dentist in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Dentist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2015; 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.