Organization Active NPI

Marylynn King, DDS

  • General Practice Dentistry
  • Wilmington, NC
National Provider Identifier
1790960318
Registry record updated Jan 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MARYLYNN KING, DDS
Practice address
3317 Masonboro Loop Rd
Suite 140
Wilmington, NC 28409-2971
Phone
(910) 791-7911
Fax
(910) 791-7919
NPI assigned
Jan 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2008

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

Authorized official

Name
Dr. Mary Lynn King, DDS
Title
Owner
Phone
(910) 791-7911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

3317 Masonboro Loop Rd
Suite 140
Wilmington, NC 28409-2971

Mailing address

3317 Masonboro Loop Rd
Suite 140
Wilmington, NC 28409-2971
Phone (910) 791-7911

National Provider Directory

National Provider Directory

Locations

3317 Masonboro Loop Rd
Unit 140
Wilmington, NC 28409
Phone (910) 791-7911

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199232000000",
    "number": "1790960318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3317 MASONBORO LOOP RD",
            "address_2": "SUITE 140",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284092971",
            "telephone_number": "910-791-7911",
            "fax_number": "910-791-7919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3317 MASONBORO LOOP RD",
            "address_2": "SUITE 140",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284092971",
            "telephone_number": "910-791-7911",
            "fax_number": "910-791-7919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLYNN KING, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-02",
        "last_updated": "2008-01-02",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "MARY LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-791-7911",
        "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": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2008; 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.