King Dental PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D8468 Issued in OR

Legal business name

KING DENTAL PC

Practice address

1855 W Nob Hill St SE Ste 200
Salem, OR 97302-5288

Phone

(503) 588-0061

NPI assigned

Mar 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. Wendell King, DMDNPI 1962522532

Title

President

Phone

(503) 588-0061

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Wendell King, D.M.D.

  • General Practice Dentistry
  • Salem, OR
  • NPI 1962522532
  NPD Authorized official

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

{
    "created_epoch": "1331769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679961600000",
    "number": "1487929980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 W NOB HILL ST SE STE 200",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973025288",
            "telephone_number": "503-588-0061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 W NOB HILL ST SE STE 200",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973025288",
            "telephone_number": "503-588-0061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-15",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "WENDELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-588-0061",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D8468",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly E Kintz
• Martha Justina Kimble, RDH
• Molly Marie Kimsey
• Kind Keepers Inc
• Kinetix Physical Therapy LLC
• Adam King, PA-C
• Dennis King
• Edward Merrill King, LMFT
• Elizabeth L King, M.D.
• Miranda Lynne King

• General Practice Dentistry in Salem, OR
• Providers in Salem, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; 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.