King Family Dental Care, P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

KING FAMILY DENTAL CARE, P.A.

Practice address

405 Hogan LN Ste 1
Conway, AR 72034-8202

Phone

(501) 336-0300

Fax

(501) 336-0545

NPI assigned

Apr 12, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Mitchell Delayne King, DDS

Title

Owner

Phone

(501) 336-0300

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Alyssa Nicole Hadley, DDS

  • Dentist
  • Conway, AR
  • NPI 1033940309
  NPD

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

{
    "created_epoch": "1649721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649721600000",
    "number": "1356083034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10522",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720340008",
            "telephone_number": "501-908-3108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 HOGAN LN STE 1",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720348202",
            "telephone_number": "501-336-0300",
            "fax_number": "501-336-0545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING FAMILY DENTAL CARE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-12",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "DELAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-336-0300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chris J Killingsworth, M.D.
• Anita Marie Killins, DPT
• Yong Jun Kim, ATC, LAT
• Sherry Kimbrell
• Theodore Kindle, CMP
• Carol King Kennard, RDN
• Brock K. King, M.D.
• Deborha Nicole King, PT, DPT
• Jacara King
• Kristen King, APRN

• General Practice Dentistry in Conway, AR
• Providers in Conway, AR by specialty
• General Practice Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; 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.