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General NPI Number Information
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NPI Number | 1699955062
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Entity Type | Organization
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Legal Business Name | W KINGERY DDS PA
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Dates
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Enumeration Date | 11/13/2007
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Last Update Date | 11/13/2007
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Provider Practice Location Address
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Address Line | 5710 HIGH POINT RD STE Y
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City | GREENSBORO
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State | NC
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Zip | 27407-7047
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Country | US
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Telephone | 336-294-0722
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2574
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City | MERRIFIELD
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State | VA
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Zip | 22116-2574
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Country | US
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Telephone | 703-204-1766
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WILLIAM H KINGERY
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Credential | DDS
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Telephone | 703-204-1766
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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 | 3468 NC
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License Number State | NC
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