Michael W King, DDS, PLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6915 Issued in TN

Legal business name

MICHAEL W KING, DDS, PLC

Practice address

2000 Greystone SQ
Jackson, TN 38305-3575

Phone

(731) 668-2354

Fax

(731) 668-2243

NPI assigned

Mar 8, 2012

Last updated

Mar 8, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael King, DDSNPI 1932105731

Title

Chief Manager

Phone

(731) 668-2354

Specialties & licenses 1

Addresses

Other names 1

• Michael W King, DDS Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Wayne King, D.D.S.

  • General Practice Dentistry
  • Jackson, TN
  • NPI 1932105731
  NPD (past) Authorized official

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

{
    "created_epoch": "1331164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331164800000",
    "number": "1871867895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 GREYSTONE SQ",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053575",
            "telephone_number": "731-668-2354",
            "fax_number": "731-668-2243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 GREYSTONE SQ",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053575",
            "telephone_number": "731-668-2354",
            "fax_number": "731-668-2243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL W KING, DDS, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-08",
        "last_updated": "2012-03-08",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CHIEF MANAGER",
        "authorized_official_telephone_number": "731-668-2354",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "6915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michael W King, DDS",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• General Practice Dentistry in Jackson, TN
• Providers in Jackson, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.