KING DENTAL CLINIC (NPI# 1235200965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235200965 |
| Entity Type | Organization |
| Organization Name | KING DENTAL CLINIC |
| Practice Address |
102 East 9th Street Eldin MO 65026 |
| Practice Telephone | 5733923886 |
| Practice Fax Number | 5733925867 |
| Mailing Telephone | 5733923886 |
| Mailing Fax Number | 5733925867 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | BILLIE C KING (DOCTOR) |
| Authorized Official Telephone | 5733923886 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
102 EAST 9TH STREET |
| City | ELDIN |
| State | MO |
| Zip Code | 65026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154408425 | Miller County Ambulance District | Ambulance | 1304 South Aurora St., Eldon, MO 65026 | 2006-11-01 |
| 1285742684 | Malcolm J Dickerson | Family Medicine | 411 W 4th, Eldon, MO 65026 | 2006-08-26 |
| 1518908953 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 410 E North St, Eldon, MO 65026 | 2006-06-09 |
| 1285606392 | Capital Region Medical Center | Nurse Practitioner | 103 Business Hwy 54 North, Eldon, MO 65026 | 2006-02-02 |
| 1225024839 | Julie L. Russell | Nurse Practitioner | 304 A East 4th St, Eldon, MO 65026 | 2005-09-20 |
| 1770090490 | Lisa Renee Zaritz | Counselor | 206 S Mill St, Eldon, MO 65026 | 2018-01-03 |
| 1912417502 | Richard Mark Anderegg | Counselor | 206 S Mill St, Eldon, MO 65026 | 2017-10-09 |
| 1457888901 | Tiffany George | Counselor | 206 S Mill St, Eldon, MO 65026 | 2017-05-16 |
| 1205280427 | Evgeniya Banina | Internal Medicine | 304a E 4th St, Eldon, MO 65026 | 2016-04-14 |
| 1104096429 | Henry Keiler Bluhm Jr. | Physician Assistant | 304a E 4th St, Eldon, MO 65026 | 2008-03-03 |
| Find all providers in zip 65026 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194322990 | Wildhorse Dental Care, LLC | Dentist | 399 Patriotic Trl, Weldon Spring, MO 63304-7936 | 2020-10-05 |
| 1801493762 | Alexander Ahmadi | Dentist | 4171 Crescent Dr Ste 102, Saint Louis, MO 63129-3645 | 2020-10-05 |
| 1184239832 | Adam Wesley Gadbois | Dentist | 220 Diego Dr, Columbia, MO 65203-4919 | 2020-09-10 |
| 1568076701 | Alternative Sleep Solution | Dentist | 2700 Kanell Blvd., Poplar Bluff, MO 63901 | 2020-09-04 |
| 1538778592 | Maya Grace Habibi | Dentist | 5212 N Service Rd, Saint Peters, MO 63376-3950 | 2020-07-27 |
| 1427667500 | Breakthrough Dental Partners LLC | Dentist | 401 E Mechanic St, Harrisonville, MO 64701-2427 | 2020-07-24 |
| 1396353876 | Michael Rehme Jr. | Dentist | 2821 N Ballas Rd Ste 245, Saint Louis, MO 63131-2378 | 2020-07-21 |
| 1790303774 | Wed Khizirpour | Dentist | 1680 Nw Chipman Rd, Lees Summit, MO 64081-3934 | 2020-07-07 |
| 1275150716 | Hills Dentistry LLC | Dentist | 2000 Kentucky Ave Ste C, Platte City, MO 64079-7714 | 2020-07-01 |
| 1134745227 | Kayla White | Dentist | 1401 Forum Blvd Ste 203, Columbia, MO 65203-1915 | 2020-06-24 |
| Find all providers with the same taxonomy | ||||
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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.