King Family Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

KING FAMILY DENTAL PLLC

Practice address

1696 Fairview Blvd Ste 104
Fairview, TN 37062-5144

Phone

(615) 799-9234

NPI assigned

Sep 9, 2024

Last updated

Sep 16, 2024By 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

Caleb Timothy King, DMDNPI 1053794909

Title

Owner/Dentist

Phone

(615) 799-9234

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, and the practitioner matching its NPPES authorized official.

• Caleb Timothy King, DMD

  • Dentist
  • Fairview, TN
  • NPI 1053794909
  Authorized official Same address or phone

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

{
    "created_epoch": "1725840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726444800000",
    "number": "1881420768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1696 FAIRVIEW BLVD STE 104",
            "city": "FAIRVIEW",
            "state": "TN",
            "postal_code": "370625144",
            "telephone_number": "615-799-9234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1696 FAIRVIEW BLVD STE 104",
            "city": "FAIRVIEW",
            "state": "TN",
            "postal_code": "370625144",
            "telephone_number": "615-799-9234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING FAMILY DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-09",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "CALEB",
        "authorized_official_middle_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "615-799-9234",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Barrera Judkins, FNP-C
• Kayla Carr DMD MSD PLLC (Carr Orthodontics)
• Sherry J Kelly, CNIM
• Key Chiropractic PLLC
• Alan Killingsworth, ATC
• Caleb Timothy King, DMD
• KJK LLC (Goodlark Pharmacy at Fairview)
• Nicholas Kramer
• Devin Kye Krekel, D.M.D
• Allison Leich Hilbun

• General Practice Dentistry in Fairview, TN
• Providers in Fairview, 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 Sep 16, 2024; 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.