Healthcare Provider Details

I. General information

NPI: 1588727416
Provider Name (Legal Business Name): ENDODONTIC ASSOCIATES, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

628 GADSDEN HWY SUITE 201
BIRMINGHAM AL
35235-2565
US

IV. Provider business mailing address

628 GADSDEN HWY SUITE 201
BIRMINGHAM AL
35235-2565
US

V. Phone/Fax

Practice location:
  • Phone: 205-836-6050
  • Fax: 205-836-5275
Mailing address:
  • Phone: 205-836-6050
  • Fax: 205-836-5275

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number
License Number State

VIII. Authorized Official

Name: DR. THOMAS PATTON KING
Title or Position: ENDODONTIST
Credential: D.M.D.
Phone: 205-836-6050