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NPI 1184156234

NPI 1184156234 : WILLIAM TRAVIS KING DDS : SPRINGFIELD, MA

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General NPI Number Information
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    NPI Number           |    1184156234
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    Entity Type          |    Individual 
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    Provider Name        |    WILLIAM TRAVIS KING DDS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/29/2017
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    Last Update Date     |    12/12/2025
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Provider Practice Location Address
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    Address Line         |    1049 MAIN ST 
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    City                 |    SPRINGFIELD
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    State                |    MA
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    Zip                  |    01103-2114
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    Country              |    US
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    Telephone            |    413-739-1100
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    Fax                  |    413-735-1133
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Provider Business Mailing Address
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    Address Line         |    1049 MAIN ST 
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    City                 |    SPRINGFIELD
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    State                |    MA
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    Zip                  |    01103-2114
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    Country              |    US
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    Telephone            |    413-739-1100
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    Fax                  |    413-735-1133
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    DN10000688
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    License Number State |    MA
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Taxonomy #2
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    Taxonomy Code        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    10501
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    License Number State |    TN
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