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General NPI Number Information
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NPI Number | 1962575324
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Entity Type | Organization
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Legal Business Name | DAVID A KING DDS PC
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5500 NW EXPRESSWAY ST STE F
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City | WARR ACRES
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State | OK
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Zip | 73132-5218
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Country | US
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Telephone | 405-728-7632
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Fax | 405-728-2816
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Provider Business Mailing Address
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Address Line | 5500 NW EXPRESSWAY ST STE F
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City | WARR ACRES
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State | OK
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Zip | 73132-5218
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Country | US
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Telephone | 405-728-7632
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Fax | 405-728-2816
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Authorized Official
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Title or Position | DENTIST PRESIDENT
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Name | DR. DAVID A KING
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Credential | DDS
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Telephone | 405-728-7632
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 5382
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License Number State | OK
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