DR. JOHN DAVID KING (NPI# 1225221971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225221971 |
| Entity Type | Individual |
| Full Name | DR. JOHN DAVID KING |
| Practice Address |
10590 Enduring Freedom Dr Fort Drum NY 13602-5503 |
| Mailing Address |
Unit 26610 Bavaria Dental Activity Credentials Office Apo AE 09244 |
| Practice Telephone | 3157720220 |
| Mailing Telephone | 9318043933 |
| Mailing Fax Number | 9318042524 |
| Enumeration Date | 2007-08-24 |
| Last Update Date | 2019-07-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D-4092 | ID | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295287803 | John D. King | Counselor | 622 E Lost Pine Way Rd, Galloway, NJ 08205-9688 | 2016-10-30 |
| 1437401213 | John Martin King | Homemaker | 4900 E. 5th Street #2007, Tucson, AZ 85711 | 2012-10-04 |
| 1194055715 | John F. King | Audiologist | 6230 Hannon Ct, San Diego, CA 92117 | 2010-01-04 |
| 1912232414 | John Mark King | Counselor | 304 Glades Cir, Largo, FL 33771-5016 | 2009-10-16 |
| 1093943763 | John Haskins King | Counselor | 912 North Elm Street, Greensboro, NC 27401-1513 | 2009-07-01 |
| 1891974325 | John Warren King | Occupational Therapist | 128 W Grove St, Bogota, NJ 07603-1003 | 2007-11-01 |
| 1295941391 | John Francis King | Social Worker | 35000 Division, Suite 2, Richmond, MI 48062 | 2007-05-15 |
| 1851464879 | John Kevin King | Anesthesiology | 4216 Lovers Ln Ste 204, Suite 650, Dallas, TX 75225-6920 | 2006-11-16 |
| 1215012109 | John T King | Dentist | 504 8th Street, Corning, IA 50841-1404 | 2006-10-26 |
| 1528142718 | John Victor King | Dentist | 15725 E Warren Ave, Detroit, MI 48224-3216 | 2006-10-24 |
| Street Address |
10590 ENDURING FREEDOM DR |
| City | FORT DRUM |
| State | NY |
| Zip Code | 13602-5503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578621769 | Keith Jonathan Wilson | Dentist | 10590 Enduring Freedom Dr, Us Army Dental Activity, Fort Drum, NY 13602-5005 | 2006-12-04 |
| 1669087771 | Mitchell Garrett Lamb | Dentist | 10590 Enduring Freedom Dr, Fort Drum, NY 13602-5503 | 2020-09-15 |
| 1356955603 | Euris Miguel Mieses | Dentist | 10590 Enduring Freedom Dr, Fort Drum, NY 13602-5503 | 2020-09-03 |
| 1003464009 | Jacob Miller Allen | Dentist | 10590 Enduring Freedom Dr, Fort Drum, NY 13602-5503 | 2019-09-03 |
| 1568957694 | Sarah Marie Mcsherry | Dentist | 10590 Enduring Freedom Dr, Fort Drum, NY 13602-5503 | 2018-07-01 |
| 1134614563 | Jacob D Woodward | Dentist | 10590 Enduring Freedom Dr, Fort Drum, NY 13602-5503 | 2018-06-27 |
| 1821500802 | Bianca Garcia | Dental Hygienist | 10590 Enduring Freedom Dr, Fort Drum, NY 13602-5005 | 2017-10-30 |
| 1265976328 | Hye H Kim | Dentist | 10590 Enduring Freedom Dr, Fort Drum, NY 13602-5005 | 2016-12-08 |
| 1467803338 | Dennis Nicholson | Dental Assistant | 10590 Enduring Freedom Dr, Fort Drum, NY 13602-5005 | 2016-06-22 |
| 1841649530 | Julie Wainwright | Dental Assistant | 10590 Enduring Freedom Dr, Fort Drum, NY 13602-5005 | 2016-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235697590 | Joshua Lee Hickman | Physician Assistant | Bldg P10506 Euphrates River Valley Rd, Fort Drum, NY 13602 | 2019-03-06 |
| 1447721345 | Lisa Marie Lewis | Social Worker | 11044 Mount Belvedere Blvd, Fort Drum, NY 13602 | 2018-12-17 |
| 1720555253 | Elizabeth M Hover | Social Worker | P11050 Mt Belvedere Blvd, Fort Drum, NY 13602 | 2018-11-02 |
| 1376037424 | Phillip Dakotah Mitchell | Physician Assistant | 10020 Euphrates River Valley Road, Fort Drum, NY 13602 | 2018-06-20 |
| 1063902666 | Guthrie Ahc | Clinic/Center | P19914 M3r Tampa, Fort Drum, NY 13602 | 2018-05-18 |
| 1255846879 | Morgan Elizabeth Callari | Dental Hygienist | 10205 S Riva Ridge Loop, Fort Drum, NY 13602 | 2017-12-05 |
| 1609389097 | John Charles Bockmann | Physician Assistant | Connor Troop Medical Clinic, 10506 Euphrates River Valley Rd, Fort Drum, NY 13602 | 2017-11-08 |
| 1902318207 | Nicholas Andrew Jones | Military Health Care Provider | 10506 S. Riva Ridge, Fort Drum, NY 13602 | 2017-10-26 |
| 1508389198 | Richard Scott Christiansen | Physical Therapist | 10330 S Riva Ridge Loop, Fort Drum, NY 13602 | 2017-07-25 |
| 1811418098 | Emer B Bajuelos | Dentist | Ft Drum W07uaa 10590, Ft Drum, Apo, AP 13602 | 2017-06-28 |
| Find all providers in zip 13602 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801307012 | Caryn Shermetaro | Dentist | 10012 S Riva Ridge Loop, Fort Drum, NY 13602-5492 | 2017-10-14 |
| 1578621769 | Keith Jonathan Wilson | Dentist | 10590 Enduring Freedom Dr, Us Army Dental Activity, Fort Drum, NY 13602-5005 | 2006-12-04 |
| 1669087771 | Mitchell Garrett Lamb | Dentist | 10590 Enduring Freedom Dr, Fort Drum, NY 13602-5503 | 2020-09-15 |
| 1356955603 | Euris Miguel Mieses | Dentist | 10590 Enduring Freedom Dr, Fort Drum, NY 13602-5503 | 2020-09-03 |
| 1003464009 | Jacob Miller Allen | Dentist | 10590 Enduring Freedom Dr, Fort Drum, NY 13602-5503 | 2019-09-03 |
| 1568957694 | Sarah Marie Mcsherry | Dentist | 10590 Enduring Freedom Dr, Fort Drum, NY 13602-5503 | 2018-07-01 |
| 1366967663 | Kaleigh Marie Namiotka | Dentist | 10590 Enduring Freedom Drive, Fort Drum, NY 13602 | 2017-08-08 |
| 1265976328 | Hye H Kim | Dentist | 10590 Enduring Freedom Dr, Fort Drum, NY 13602-5005 | 2016-12-08 |
| 1922552116 | Taylor Thomas Mason | Dentist | 10205 N Riva Ridge Loop, Fort Drum, NY 13602-5457 | 2016-08-05 |
| 1558711010 | Tylen K Haderlie | Dentist | 10205 N Riva Ridge Loop, Fort Drum, NY 13602-5457 | 2016-06-15 |
| Find all providers in FORT DRUM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.