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1861675738 NPI number — WILLIAM WAYMON KING III D.M.D.

NPI Number: 1861675738
Health Care Provider/Practitioner: WILLIAM WAYMON KING III D.M.D.

Information about “1861675738” NPI (WILLIAM WAYMON KING III D.M.D.) exists in 1861675738 in HTML format HTML  |  1861675738 in plain Text format TXT  |  1861675738 in PDF (Portable Document Format) PDF  |  1861675738 in an XML format XML  formats.

NPI Number : 1861675738 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1861675738",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KING",
    "FirstName": "WILLIAM",
    "MiddleName": "WAYMON",
    "NamePrefix": "DR.",
    "NameSuffix": "III",
    "Credential": "D.M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "KING",
    "OtherFirstName": "WAYNE",
    "OtherMiddleName": null,
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "D.M.D.",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "PO BOX 2168",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BRENTWOOD",
    "MailingAddressStateName": "TN",
    "MailingAddressPostalCode": "37024-2168",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "404-915-9183",
    "MailingAddressFaxNumber": "615-730-6496",
    "FirstLinePracticeLocationAddress": "2170 BIG SPRING RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MCMINNVILLE",
    "PracticeLocationAddressStateName": "TN",
    "PracticeLocationAddressPostalCode": "37110-3896",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "931-692-4181",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/13/2007",
    "LastUpdateDate": "01/04/2012",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "1223G0001X",
          "TaxonomyName": "General Practice Dentistry",
          "LicenseNumber": "2039",
          "LicenseNumberStateCode": "SC",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1223G0001X",
          "TaxonomyName": "General Practice Dentistry",
          "LicenseNumber": "DS0000007692",
          "LicenseNumberStateCode": "TN",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "1223G0001X",
          "TaxonomyName": "General Practice Dentistry",
          "LicenseNumber": "DN010090",
          "LicenseNumberStateCode": "GA",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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